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PPACA Effective Dates for Key Insurance Provisions. Immediate (3/23/10) grandfather provisions7/1/10 federal high risk pool9/23/10 standards relative to dependents to age 26, preexisting conditions, preventive care, emergency treatment, rescissions, internal and external appeal, and lifetime/annua
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1. Patient Protection and Affordable Care Act PPACA
2. PPACA Effective Dates for Key Insurance Provisions Immediate (3/23/10) grandfather provisions
7/1/10 federal high risk pool
9/23/10 standards relative to dependents to age 26, preexisting conditions, preventive care, emergency treatment, rescissions, internal and external appeal, and lifetime/annual limits and access to specialists
1/1/11 medical loss ratios
1/1/14 individual mandate, exchanges, guaranteed issue, and COOP plans
3. Exchanges Designed as a one-stop health insurance shopping mall Individual health Small group health Medicaid Premium subsidies