Medicaid to cover families

Medicare payroll taxes: Increases Medicare payroll tax on couples' income above $250,000 and individuals' income over $200,000. Adds a new tax of 3.8 percent on income from investments for high-income taxpayers.
Pre-existing conditions: Prohibits insurers from denying or limiting coverage based on pre-existing conditions.
Insurance exchanges: States create health insurance exchanges — supermarkets for individuals and small businesses to buy coverage — and provides income-based tax credits for most consumers in them.
Low-income access to care: Expands Medicaid to cover families and individuals with income up to 133 percent of the poverty line.

Mandatory insurance: Requires most citizens and legal residents to have health insurance or pay a fine.
Penalties for employers: Penalizes employers with more than 50 workers if insurance is not offered or if their workers get coverage through the exchange and receive a tax credit.
High-cost policies: Levies a tax on so-called Cadillac health plans (employer-sponsored health insurance worth more than $10,200 for individual coverage, $27,500 for a family plan).
Or through work to buy insurance through exchanges.
Consumers in all 50 states will absolutely have access to an exchange come January of 2014," said Department of Health and Human Services spokeswoman Erin Shields Britt.
Under the law, states have until Nov. 16 to tell the department whether they will set up an exchange, a complicated project requiring new data systems, regulations and bureaucracy.

Just 15 states, including California, Maryland and Connecticut, as well as the District of Columbia, have established an exchange, according to the nonpartisan Kaiser Family Foundation. More than a third of the states are expected to reject that option, forcing the government to step in.
Insurance companies have been warning that a new tax on insurers  will be passed on to consumers in 2014.
Employers say the mandate on benefits for full-time employees may prompt some to shift more workers to part time.

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