Health Care Reform Toolkit

The Health Care Reform Toolkit aims to help augment your health care reform knowledge. This toolkit will continually be updated to ensure you, as a member, are fully informed.



White Papers and Articles

White Papers and Articles




Partner Shared Resources
ASHHRA would like to thank the following partners for contributing to this toolkit:

  • Alston & Bird LLP
  • American Hospital Association (AHA)
  • Buck Consultants
  • Drinker Biddle & Reath LLP
  • Grants.gov
  • Health Resources and Services Administration (HRSA)
  • HighRoads
  • Ropes & Gray LLP
  • The White House
  • Towers Watson
  • U.S. Department of Health & Human Services 
  • USI
  • Washington Research Group


  1. New Health Insurance Marketplace Coverage Options and Your Health Coverage
    Drinker Biddle & Reath LLP, Sept. 2013
    There is a requirement under health care reform (the Patient Protection and Affordable Care Act – PPACA) that employers provide a written notice to their employees about health coverage options available through the new insurance exchange (or, as it is now called, the marketplace). Recently, the US Department of Labor (DOL) provided temporary guidance and model notices to help employers comply with this requirement. The basics of this guidance are summarized below. The DOL model notice that may be used by an employer that offers health coverage to some or all of its employees can be downloaded here. Please note that there are some employer specific provisions that must be included in the notice.

    Highlights of the Guidance:

    • Recipients: Notice must be provided to all employees, regardless of employment classification (such as part-time, full-time, temporary employee). It does not need to be provided to others who may be participants in the employer’s health plan but who are not employees (such as dependents).
    • Content: The model notice may be used to ensure compliance with the content requirement, but in general, the notice must (i) inform the employees of the existence of the marketplace, (ii) describe the services provided by the marketplace, (iii) describe the manner in which employees may contact the marketplace to request assistance, (iv) inform employees that they may be eligible for a premium tax credit if the employee purchases a qualified health plan through the marketplace, and (v) inform employees that they may lose the employer contribution (if any) for any health plan offered by the employer and that all or a portion of that contribution may be excludable from income for federal income tax purposes.
    • Timing: The notice must be provided to all current employees before October 1, 2013. For employees hired on or after October 1, 2013, the notice must be provided to them within 14 days of their start date.
    • Form: The notice must be written in a manner calculated to be understood by the average employee and provided automatically, free of charge.
    • Method of Delivery: The notice must be provided by first class mail or electronically (provided the requirements for the DOL’s electronic disclosure requirement are met).
  2. Promoting Wellness: Proposed Rules Under Health Care Reform Include Increase Incentive Opportunity for Wellness Programs PDF
    Health Plans: What's Next? Drinker Biddle’s Health Care Reform Update for Employee Benefit Plans, Drinker Biddle & Reath, LLP, Dec. 2012

  3. OCR Issues Guidance on Methods for De-identification of PHI PDF
    Drinker Biddle & Reath LLP, Dec. 2012

  4. Deadline Approaching for Correcting Release Timing Failures Under Section 409A PDF
    Drinker Biddle & Reath, LLP Oct. 16, 2012 

  5. New Guidance May Help Employers Avoid Significant Penalties: How to Prepare for 2014 and the New Employer Shared Responsibility Rules and Waiting Period Limitation PDF  
    Health Plans: What's Next? Drinker Biddle’s Health Care Reform Update for Employee Benefit Plans, Drinker Biddle & Reath, LLP, Nov. 2012

  6. Did You Get a Check? HTML

  7. Grants and Scholarships

  8. Preventive Services Covered Under the Affordable Care Act
    If you have a new health insurance plan or insurance policy beginning on or after September 23, 2010, there are preventive services that must be covered without your having to pay a copayment or co-insurance or meet your deductible. This applies only when these services are delivered by a network provider. These new rules take effect at the next renewal date – on or after Aug. 1, 2012 — for most health insurance plans. For the first time ever, women will have access to even more life-saving preventive care free of charge. Below are links with further information:

  9. 2011 Hospital Employer Benefit Survey Report PDF
    by HighRoads - June 2011

  10. Implementation Timeline PDF
    American Hospital Association (AHA) - May 25, 2010
  11. Workforce Provisions in the Final Health Care Reform Bill DOC
    American Hospital Association (AHA) - May 12, 2010

  12. AHA Unveils Resource Center for Health Reform Implementation PDF
    American Hospital Association (AHA) - April 23, 2010

  13. Estimating the Impact of Reform on Your Hospital PDF
    American Hospital Association (AHA)

  14. Health Care Reform Summary PDF

  15. Health Care Public Policy Group Timeline of Key Health Reform Provisions PDF 
    Alston & Bird LLP

  16. Supplemental Links:

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White Papers and Articles

White Papers and Articles

  1. News Release: Health Centers to Help Uninsured Individuals Gain Affordable Health Insurance Coverage HTML
    U.S. Department of Health & Human Services
    , May 9, 2013  
  2. AHA Statement on the Supreme Court's Decision to Uphold the
    Affordable Care Act
    American Hospital Association, June 28, 2012

  3. Health Care Reform: Time for Bold Action - PPACA Resources for Hospitals and Employers HTML
    Towers Watson

  4. Thought Leader Forum Summary of Findings: Health Care Reform Engagement PDF
    ASHHRA, underwritten by Buck Consultants, Sept. 1, 2011

  5. Transitioning to Health Care Reform: So You Think You'd Like Your Plan to be Granfathered... PDF
    Drinker Biddle & Reath LLP, June 23, 2010
  6. Health Plans: What's Next? Drinker Biddle's Health Care Reform Update PDF
    Drinker Biddle & Reath LLP, May 2010
  7. Summary of the Most Significant Health Reform Changes Affecting Hospitals and Other Employees PDF
    American Hospital Association (AHA),  May 11, 2010
  8. Fact Sheet: Early Benefits from the Affordable Care Act of 2010 Reinsurance Program for Early Retirees PDF
    Drinker Biddle & Reath LLP

  9. Summary of 2010 Health Care Reform Legislation PDF
    American Hospital Association (AHA)

  10. Summary of Major Provisions in Final House Reform Package PDF
    American Hospital Association (AHA)
  11. Health Reform is Here! PDF
    Drinker Biddle & Reath LLP
  12. Comparison of Select Provisions of House and Senate Health Reform Legislation PDF
    Ropes & Gray LLP

  13. Timeline of Health Reform Bill Provisions PDF
    Washington Research Group


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  1. Resources for Pre-Existing Condition Insurance Plan (PCIP):
    U.S. Department of Health and Human Services (HHS) | Centers for Medicare & Medicaid Services (CMS)
  2. Webinar: Health Care Reform: Making Sense of Complex Issues HTML
    Towers Watson

  3. Webinar: Health Care Reform: Strategic Implications for Hospitals and Health Systems HTML
    Towers Watson and Drinker Biddle, April 29, 2010

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The information and resources included and/or referenced in this toolkit provide only a general overview of the topic covered.  ASHHRA makes no representations or warranties, express or implied, concerning the application of that information, including without limitation, implied warranties of merchantability and fitness for a particular purpose. The information is NOT intended to be taken as advice regarding any specific individual situation or circumstance and should not be relied upon as such.  It also is NOT intended to, and cannot, substitute for responsible legal advice. Legal questions should be addressed directly to appropriate legal counsel.

ASHHRA reserves all rights in ASHHRA original content included and/or referenced in this toolkit. However, ASHHRA grants to ASHHRA Members the right to use original content for strictly noncommercial purposes unless otherwise indicated.

ASHHRA has not reviewed, and is not responsible for, the completeness or accuracy of any third party information included herein. The views and/or positions expressed in any third party content do not necessarily represent the views of ASHHRA and the inclusion and/or references to third party information do not indicate any endorsement by ASHHRA unless expressly provided. ASHHRA does not claim ownership of any content, including content incorporated by permission into ASHHRA-produced materials, created by any third party and cannot grant permission to use, distribute or otherwise reproduce such third party content.