October 1, 2013: Health insurance exchanges open, all policies will be in effect January 1, 2014 (Affordable Healthcare California, 2017). January 1, 2014 : According to Healthcare.gov (2017) “A large amount of the Affordable Care Act changes go into effect. The Act: Opens Health Benefit Exchange sales of coverage. Prohibits denial of coverage to adults with pre-existing conditions. Requires large employers to provide coverage to those who work at least 30 hours per week. Expansion of eligibility for the Medi-Cal program. Tax credits for small business that provide coverage. Tax credits for individuals and families with incomes up to $94,200 (for a family of four) who buy their insurance through the Health Benefit Exchange” (Affordable Care Act). January 2016 – January 2018: Senior citizens can itemize their medical expenses on taxes up to 10% (Affordable Healthcare California, 2017).
4 All insurance policies will cover preventative care and check-ups without a co-pay (Affordable Healthcare California, 2017). Health Insurance Portability and Accountability Act (HIPAA) August 21, 1996: HIPAA is passed by congress. The original intent of HIPAA was to ensure persons changing jobs did not lose their health insurance. August 12, 1998: A Security Rule is proposed to expand HIPAA. The Security Rule’s intent is to improve security to better protect an individual’s health information specifically in regards to health plans, clearinghouses, and healthcare providers (HIPAA Journal, 2017). November 3, 1999: A Privacy Rule is proposed to expand HIPAA. The Privacy Rule’s intent is to improve privacy standards, expand restrictions on the disclosure of personal health information, and provide patients better access to their health information (HIPAA Journal, 2017). December 28, 2000: HIPAA is expanded to include the Privacy Rule. February 20, 2003: HIPAA is expanded to include the Security Rule. April 18, 2005: The HIPAA Enforcement Rule is proposed. The intent of the HIPAA Enforcement Rule according to HIPAA Journal, 2017 “is to allow the Civil Rights Office (OCR) to investigate into HIPAA violations and the issuing of financial penalties for HIPAA violations” (HIPAA Timelines). March 16, 2006: The Enforcement Rule is passed.
5 February 17, 2009: The Health Information Technology for Economic and Clinical Health Act (HITECH). The intent of the HITECH Act is to introduce incentives for the use of electronic health record (EHR) systems. August 24, 2009: The Department of Health and Human Services (DHHS) introduces additional regulations to HITECH. The regulation requires entities to report data breaches to the OCR along with the potential victims (HIPAA Journal, 2017).
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