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Health Care Reform

More than one-quarter of REALTORS® are uninsured. As part of efforts to address the health insurance needs of members, NAR has advocated for reform of the health insurance markets that provide coverage to the self-employed and small employers for more than nine years.

Among the legislative approaches that NAR has advocated are small business health options plans (SHOP), small business health plans (SBHPs) and association health plans (AHPs). NAR continued to represent the interests of the REALTOR® community in the recently completed comprehensive health reform debate.

Patient Protection and the Affordable Care Act

The Affordable Care Act (ACA) was signed into law on March 23, 2010. On June 28, 2012, in a 5-4 decision, the U.S. Supreme Court upheld the constitutionality of the ACA.

The Act is complex and multifaceted; several provisions of it were enacted immediately, while others will become law during the next several years. The last provisions of the ACA are scheduled to take effect on Jan. 1, 2015. Of particular importance to REALTORS® and those who must purchase their own health insurance are the ACA underwriting and rating reforms that help to conform the characteristics of health insurance plans purchased by individuals with plans that are traditionally available from employers.

Legislation, Rulings & Timeline
NAR has put together information on the two bills that comprised the health reform legislation including Congressional roll call votes, summaries of the bills’ provisions, and the text of the Supreme Court’s ruling on the Affordable Care Act.

Want to learn more?

Both NAR and independent organizations have created a wide array of materials to help explain the provisions of the new health law, as well as provide more detailed commentary. Some of the most helpful materials can be found at:

  • Healthcare.gov
    The federal government website that provides health insurance choices for individuals, families and small businesses.
  • Kaiser Health News FAQs
    Kaiser Health News has put together a list of hot topics on the health law, insurance, medicare and medicaid, and other FAQs.  
  • Kaiser Family Foundation FAQs
    The Henry J. Kaiser Family Foundation compiled an extensive list of frequently asked questions to help you understand the eligibility, requirements, and responsibilities under the Affordable Care Act.
  • IRS Individual Mandate FAQs
    Starting January 2014, you and your family must either have health care coverage, have an exemption from coverage, or make a payment when you file your 2014 tax return in 2015.
  • IRS Employer Mandate
    The Obama Administration has delayed the implementation of the employer mandate until January, 2015 to give businesses additional time to comply with the Affordable Care Act (ACA). Review the IRS tax provisions for employers.
  • NAR FAQ: The 3.8% Tax 
    A 3.8 percent tax on investment income was created as part of the Affordable Care Act (ACA). This tax WILL NOT be imposed on all real estate transactions, a common misconception. Please view our frequently asked questions to help you understand this tax provision.
  • State Actions to Address Health Insurance Exchanges
    The National Conference of State Legislatures has a map showing the decisions made by each state regarding the the state Health Exchange marketplaces that serve as the new insurance marketplace for individual and small business insurance coverage.
  • How to Apply for An Exemption
    The Centers for Medicare & Medicaid Services published a fact sheet released by the IRS on the various exemptions from the individual mandate, such as being unable to find affordable health insurance or living in a state that did not expand Medicaid.

As part of efforts to address the health insurance needs of members, NAR has advocated for reform of the health insurance markets that provide coverage to the self-employed and small employers. Here you’ll find information about new health care reform laws that will make a major change to many aspects of our health care system.

Political Advocacy

Want to Learn More?

Visit these FAQ pages for answers to common questions about the new health care law.