Health System Reform
In June 2012, on a vote of five to four, the U.S. Supreme Court upheld the Patient Protection and Affordable Care Act (ACA) as constitutional, leading to the continuation of health system reform set forth by the legislation.
“In the wake of this ruling by the high court, the Ohio State Medical Association (OSMA) calls on Congress to improve upon several deficiencies in this legislation by eliminating the flawed Medicare Sustainable Growth Rate (SGR) formula, implementing cost-saving measures, like comprehensive medical liability reform, and finding alternative ways to achieve access to medical care other than already underfunded and overstressed public programs, such as Medicaid,” said Deepak Kumar, MD, president of the OSMA in statement on the ruling.
The OSMA is committed to keeping you up-to-date with upcoming regulations and the implementation schedule. We will be continually updating this page with several links to resources that may answer questions that physicians or patients have about health system reform.

HSR FAQs
Health System Reform Implementation
- Provisions Effective Jan. 1, 2011
- FSA, HRA & HSA OTC Drug Coverage Changes
- Cuts to PQRI Incentive Payments
- Primary Care Bonus Payments
- Small Business Tax Credits
- Employer Tax Reporting Filing
- Medicare Annual Wellness Visit
- Preventive Service Coverage
- Home Health Care
- Expanded 1099 Reporting Requirements
- Compliance Plan
- Privacy and Security Compliance Audits
