US Health Care Reform
[page under construction]

The laws

Consolidated PPACA and Reconciliation Act
PPACA (as enacted)
Reconciliation Act (as enacted)
Committee Reports (consolidated by ERIC)

Tech release 2012-1 auto entrol, shared responsibilities,
waiting periods

CHIP and Medicaid
2011 specimen special enrollment notice

COBRA
Form 8928 penalties (COBRA and HIPAA)

GINA
Impact on wellness programs (Pepper Hamilton)
GINA DOL Site

Government Sources
EBSA Home Page
HHS regulations and guidance
healthreform.gov

CMS Center for Consumer Information
and InsuranceOversight -- CCIIO - Regs and Guidance

Overall views
Kaiser Org. Summary
All health plan notices summary (Kushner)
Checklist from Brian Cave (September, 2010)
Morgan Lewis analysis
Notices required by PPACA (Plan Sponsor)
13 step checklist: Baker Donelson
self-insured, unbundled health and vision plans

The topics

Grandfathered plans
Interim regulations
DOL Grid
Model disclosure notice: grandfathering
Segal Co comparison: grandfathering
ERISA Diagnostics Grid: Worst case analysis
BBA Health Law Analysis

Interim regulation to allow change of insurer


Patient Bill of Rights:
Preexisting Condition Exclusions, Lifetime
and Annual Limits, Rescissions, and Patient Protections
Proposed regulations
Fact sheet (Patient Bill of Rights)
Model disclosure notice: physician selection
Model disclosure notice: no Lifetime limits

Preexisting Condition Program (proposed regulations)


Annual Limit Waivers
June 17, 2011 application info (w/ extension info)
June 17, 2011 CCIIO link to Waiver info
June 17, 2011 info w/ employee notice
Original MiniMed Annual limits waiver procedure (HHS)
Original MiniMed Notice for plans with waivers (HHS)


Preventative Care Mandate
Contraception and religious organizations
Interim regulation

Links to proposed regulations and list of covered services
Buck analysis

Nondiscrimination rules for insured plans
IRS Notice 2011-1 (extension until further guidance)
IRS Notice  2010-63
United healthCare guidance
Price Waterhouse guidance
Jones Day concerns

Children under age 27 (Tax treatment)
IRS Notice 2010-38 (includes 125 plan rules)

Children up to 26th birthday (coverage)
DOL / IRS / HHSA interim final rule
DOL Q&As
Model disclosure notice: special enrollment
Comment to expand dfn of child

Cafeteria Plans
IRS Notice 2010-59 (prescription drug limit)

Small employer credit
Notice 2010-13 list of benchmark premiums
IRS web page
IRS Notice 2010-44
IRS instructions: Form 8941

Appeals Procedure
Allston & Bird comment
DOL site w/ regulation links

Uniform Disclosure of coverage terms
Final regulations
Compliance guide
Summary of Benefits Coverage Template
Sample completed SBC
Instructions to complete group SBC
Instructions to complete individual SBC
Why this matters language for YES answers
Why this matters language for NO answers
HHS info for simulating coverage examples
Uniform glossary of coverage and medical terms


Mental Health Parity
Gallagher Alert


Early Retiree Assurance Program
HIS Interim Final Rule (5/5/2010)
Sutherland Asbill checklist
Deloitte analysis

Long term care (the Class Act)
NY Times summary

Nursing Mothers
DOL Fact Sheet

Wellness Programs
Comments from ERIC (3/8/2011)

w-2 reporting
IRS Notice 2011-28

The regulators
HHS key personnel