Report: 49 states moving forward with healthcare reform despite repeal rhetoric

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The report looked at 10 healthcare law provisions together known as the "Patient's Bill of Rights," which went into effect Sept. 23, 2010. These include: 

• Prohibiting lifetime limits on coverage and 

• Restricting annual limits; 

• Requiring plans to cover young adults on their parents' coverage;

• Prohibiting rescissions except for fraud;

• Requiring preventive care without cost-sharing;

• Prohibiting plans from imposing preexisting condition exclusions on minors;

• Requiring plans that provide benefits with respect to emergency services to cover such services without prior authorization, regardless of whether the provider participates in the plan's network; 

• Requiring plans to allow patients to designate any available participating primary care provider as their provider;

• Requiring plans to allow parents to choose any available participating pediatrician to be their children's primary care provider; and 

• Prohibiting plans from requiring a referral for obstetrical or gynecological care.

Twelve states — Connecticut, Hawaii, Iowa, Maine, Maryland, Nebraska, New York, North Carolina, North Dakota, South Dakota, Vermont, and Virginia — passed legislation to implement all 10 reforms, the report found.