ACA hasn't taken force yet, so no, it does no such thing, liar.
Yes, it has, except for the exchanges
Many of the protections, reforms and taxes are already enacted. Some of the biggest changes roll out in 2014. Our timeline of health care reform breaks down what has already happened and what will happen each year until ObamaCare is fully implemented.
ObamaCare Health Care Reform Timeline 2010-2012
First, let's start with the facts on what ObamaCare has done to reform the healthcare industry so far:
• ObamaCare allows the FDA to approve more generic drugs in order to drive competition up and prices down.
• ObamaCare increases rebates on drugs through Medicare for Seniors.
• ObamaCare closes the Part D Medicare Coverage Gap or "Donut Hole" that was forcing Seniors to pay out of pocket for drug costs. There is also a 50% discount on brand name drugs. Seniors currently get a rebate to cover the costs and ObamaCare closes the Medicare coverage gap for good in 2020.
• The PCORI, an independent non-profit advisory board, studies different types of treatments in order to ensure quality affordable health care under ObamaCare.
• Chain restaurants must now display calories in order to promote wellness and healthy living (this helps to keep the cost of health care down, since less people will need it).
• Health Insurance companies can't drop your coverage when you are sick.
• Individuals can't be denied coverage for pre-existing conditions.
• Children under the age of 19 can't be classified as having a pre-existing conditions
• Children under the age of 26 can stay on their parents insurance.
• Income exclusion for Indian Tribe health benefits that were provided after March 23rd, 2010
• ObamaCare cuts Medicare funding to hospitals and other health care facilities and then reinvests the money back into Medicare reform.
• “Comparative Effectiveness Research” (CER) studies the effectiveness of drugs by comparing drug to drug and seeing which one works best. They will continue to research and publish studies until 2019.
• ObamaCare establishes a “Patient-Centered Outcomes Research Institute” (PCORI) — a public-private entity that oversees ObamaCare's funding, goals, and outside partnerships.
• ObamaCare creates a high-risk pool for individuals with pre-existing conditions. These individuals can still get treatment, but at higher rates. The high-risk pool disappears come 2017, at which point high-risk individuals will buy the same insurance as everyone else. In general there are no pre-existing conditions on new plans starting 2014.
• Insurance companies can no longer discriminate for disabilities or domestic abuse.
• The law imposes a 10% tax on tanning booths. The concept is to tax and regulate products and services that are likely to cause people to need to use their health coverage in order offset what it costs to treat these individuals.
• Rate Hike Review is implemented. Insurers can no longer increase your premiums for profit (also known as "price gouging"). They must justify rate hikes over 10% to the state and then display them on their website (and .gov website) the same day. As of Sept 2012 this measure saved Americans $1 billion. However not all States are using this rule, causing large Premium increases in their respective States.
• The 80/20 rule is implemented. Insurance companies now have to tell their customers how their money is being spent. If they don't spend at least 80% of the money on health care they have to give customers a rebate for the difference. The 80/20 rule has saved Americans $1.1 billion dollars via rebates.
• Health Insurance companies can no longer turn down a claim without an appeal process. This allows customers to have legal standing to fight the appeal.
• Anti-fraud funding is increased and new ways to stop fraud are created.
• Increases rebates for brand name pharmaceuticals purchased through Medicaid.
• New Annual taxes on pharmaceutical companies.
• ObamaCare payment increases to physicians, mostly in rural areas.
• Some Small Employers are eligible for tax credits to help with health care related costs.
• ObamaCare improves treatment for patents with chronic illnesses.
• The law prohibits non-group plans from canceling coverage.
• A limit is placed on what type of insurance accounts can be used to pay for over-the-counter drugs without a prescription. This does not include insulin, asthma medication or other vital drugs.
• Employers must list employee benefits on their tax form. This helps to determine whether the company will get tax breaks or credits for insuring employees.
• Hospitals in "Frontier States" (ND, MT, WY, SD, UT ) receive higher Medicare Payments.
• Hospitals in "low cost" areas receive higher Medicare payments for 2 years.
• All new plans must provide preventive care free of charge.
• ObamaCare does away with annual spending caps.
• ObamaCare greatly eliminates lifetime limits and reduces annual limits of health insurance plans.
• New tools to fight fraud have been established, this returned more than $2.5 billion in 2009 alone.
• Cuts $716 Billion from Medicare and Medicare advantage and reinvests it back into Medicare and ObamaCare (this obviously covers a lot of ground. Read more on ObamaCare and Medicare.)
• ObamaCare places a $2500 limit on tax free spending under FSAs (flexible spending accounts).
• ObamaCare establishes state consumer assistance programs to help consumers file complaints, appeals, enroll in health care and other consumer related assistance to better understand trouble spots that need oversight.
• Your FSA cost of an over-the-counter medicine or drug cannot be reimbursed from Flexible Spending Arrangements (FSAs) or health reimbursement arrangements unless a prescription is obtained. The change does not affect insulin, even if purchased without a prescription, or other health care expenses such as medical devices, eye glasses, contact lenses, co-pays and deductibles. A similar rule went into effect on Jan. 1, 2011, for Health Savings Accounts (HSAs), and Archer Medical Savings Accounts (Archer MSAs).
• FSA and HRA participants can continue using debit cards to buy prescribed over-the-counter medicines, if requirements are met.
• The hospital "pay-for-quality" program begins. This is part of an overall effort to promote quality not quantity in the health care industry.
• There is a 3.8% tax increase on capital gains over, unearned income, interest, dividends, annuities, rent, royalties, and inactive businesses. Exemptions include income from tax-exempt bonds, veterans benefits and qualified plan distributions such as those from an IRA or 401k.
• The 3.8% tax does not apply to selling your primary residence in most cases.
• The Affordable Care Act has a 5 year plan that works to simplify administrative tasks associated with health insurance such as reducing paperwork.
• Starting in 2012 there is a new tax on private health insurance plans.
http://obamacarefacts.com/health-care-reform-timeline.php