{
  "id": "R41126",
  "type": "CRS Report",
  "typeId": "REPORTS",
  "number": "R41126",
  "active": false,
  "source": "EveryCRSReport.com, University of North Texas Libraries Government Documents Department",
  "versions": [
    {
      "source": "EveryCRSReport.com",
      "id": 357426,
      "date": "2010-03-25",
      "retrieved": "2016-04-07T01:48:24.330844",
      "title": "Private Health Insurance: Changes Made by H.R. 4872, the Health Care and Education Reconciliation Act of 2010",
      "summary": "On March 23, 2010, the President signed into law H.R. 3590, the Patient Protection and Affordable Care Act (PPACA) as passed by the Senate on December 24, 2009, and the House on March 21, 2010. The new law will, among other changes, make statutory changes affecting the regulation of and payment for certain types of private health insurance. \nOn March 21, 2010, the House passed an amendment in the nature of a substitute to H.R. 4872, the Health Care and Education Reconciliation Act of 2010 (hereafter referred to as the reconciliation bill). The reconciliation bill was written as making amendments to PPACA and is now before the Senate for consideration. On March 25, 2010, the bill passed the Senate with amendments and has been sent back to the House.\nThis report summarizes only the private health insurance provisions in the reconciliation bill and their impact on PPACA. For a description of all the private health insurance provisions in H.R. 3590, see CRS Report R40942, Private Health Insurance Provisions in Senate-Passed H.R. 3590, the Patient Protection and Affordable Care Act.\nAmong the changes that would be made by the reconciliation bill to PPACA are the following which, except for the first two, would apply beginning in 2014: \nextend to grandfathered plans, starting for plan years six months after enactment, the prohibition of lifetime limits, prohibition on rescissions, limitations on excessive waiting periods, and a requirement to provide coverage for non-dependent children up to age 26;\nfor coverage of adult dependent children prior to 2014, the requirement on grandfathered group health plans would be limited to adult children without an employer offer of coverage;\nmake certain changes to the calculation of the penalties imposed on persons who are not in compliance with the individual mandate; \nmodify a rule regarding the exemption from the individual mandate; \nmake changes to how the employer penalties would be calculated; \ninclude full-time equivalents in the counting of full-time employees;\nstrike the employer fee based on extended waiting periods;\nfor grandfathered group health plans, prohibit pre-existing condition exclusions and restrict annual limits;\nincrease premium credits and cost-sharing subsidies to certain low- and middle-income individuals enrolled in private coverage through an exchange; and\nalter how income is counted for purposes of determining eligibility for premium credits and cost-sharing subsidies.",
      "type": "CRS Report",
      "typeId": "REPORTS",
      "active": false,
      "formats": [
        {
          "format": "HTML",
          "encoding": "utf-8",
          "url": "http://www.crs.gov/Reports/R41126",
          "sha1": "62cc110dfe60cfd90fc56ad5c9075d6a1b3dd4c8",
          "filename": "files/20100325_R41126_62cc110dfe60cfd90fc56ad5c9075d6a1b3dd4c8.html",
          "images": null
        },
        {
          "format": "PDF",
          "encoding": null,
          "url": "http://www.crs.gov/Reports/pdf/R41126",
          "sha1": "247d5883a53c0d057fa11d98e27b8bcada8c663a",
          "filename": "files/20100325_R41126_247d5883a53c0d057fa11d98e27b8bcada8c663a.pdf",
          "images": null
        }
      ],
      "topics": []
    },
    {
      "source": "University of North Texas Libraries Government Documents Department",
      "sourceLink": "https://digital.library.unt.edu/ark:/67531/metadc818417/",
      "id": "R41126_2010Mar19",
      "date": "2010-03-19",
      "retrieved": "2016-03-19T13:57:26",
      "title": "Private Health Insurance: Changes Made by the Reconciliation Act of 2010 to Senate-Passed H.R. 3590",
      "summary": null,
      "type": "CRS Report",
      "typeId": "REPORT",
      "active": false,
      "formats": [
        {
          "format": "PDF",
          "filename": "files/20100319_R41126_5b5325dd38318afe4de91ed8ac5782b20ad4e3e5.pdf"
        },
        {
          "format": "HTML",
          "filename": "files/20100319_R41126_5b5325dd38318afe4de91ed8ac5782b20ad4e3e5.html"
        }
      ],
      "topics": []
    }
  ],
  "topics": []
}