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


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.