2011

• Limits on Flexible Spending Account (FSA) contribution imposed (effective 1/1/11).

2014

• Mandates essential health benefits for small group or individual plans offered inside a state Exchange - AND - on all new small group or individual plans outside the Exchange. Stand-alone dental is exempt as an excepted benefit.
• Eliminates annual limits for new and grandfathered group plans ("restricted" annual limits permitted beyond 2014, as an excepted benefit, stand-alone dental is not subject to this requirement).
• All US citizens and legal residents are required to purchase coverage. A penalty will be assessed if they do not.
• General insurance "reforms" including premium rating rules on individual and small group. Stand-alone dental is exempt as an excepted benefit.
• Annual insurer fee begins
• States must have Exchanges operational.

2017

• States may allow employers with more than 100 employees to purchase insurance in Exchanges.
• Mandates "qualified" health plan with essential health benefits for all large group plans (except for self-insured plans) offered in a state Exchange.

2018

• High-value, "Cadillac" employer-provided group health plans taxed. Dental plan value is exempt from calculated total value.

2019

• CHIP funding extended through 2019.