Two bills have been enacted in the United States of America on health care reforms. On March 23, 2010, the Patient Protection and Affordable Care Act, was passed which required amendment by the Health Care and Education Reconciliation Act of the year 2010. When will the health care reform be implemented? The question is lurking all over online and offline! There a number of provisions made in the health reform passed in March 2010. In the first year itself that is 2010-11, provision was made for young adults to remain on their parents’ health plan till they attained the age of 26. The current health plans discontinue health plans of individuals when they attain 19 years of age.A preexisting condition won’t be denied coverage:Those who are not covered under any health insurance plan, especially those with conditions which pre-exists will be able to get coverage on health. Insurance companies cannot deny coverage to young adults with pre existing conditions either. For all those who retire early, there is health coverage, though it a reinsurance program which is temporary. During the year 2011, surgeons and primary care physicians will be paid a bonus payment by Medicare. Depending on the share in the market, medical companies will have to pay a yearly fee, but those companies having lesser sales do not have to pay such a fee. Yearly visits to the doctor will be covered by the Medicare plan in the year 2011. With no burden of expenses on patients, health plans will also cover health services which are preventive in nature. Disabled people can also avail community as well as home based care or may choose to get admitted to institutions to be cared for.Improvisation in medical care in the period 2012 to 2014:When will the health care reform be implemented? This is one question which many citizens of America keep asking. By the year 2012, basic health care as well as quality o implemented schemes are expected to be improved. Doctors will be encouraged to provide efficient services and primary health care centers will be enhanced in operation. Hospitals providing acute care have to show tangible evidence on quality of the outcomes. Companies that do not pay required tax amount will have to keep clean sheets.By the year 2013, more emphasis will be laid on providing quality medical care rather than just increasing the volume of services. The year 2018 will see that the plans provided by employers will be charged with excise tax accordingly. For individuals belonging to professions in the high risk category a higher level is set for their health plan and only those in the category will be exempted from tax, which pays for individual coverage amounting to $10200 and for the family plan up to $27500. In the year 2013 professionals in the medical field will be encouraged to coordinate with the patients in a better way for which a pilot program at a national level will be established. As of 2014, individuals at poverty levels as declared by the federal authority will qualify for coverage by Medicaid. People will have to pay tax if coverage on heath insurance is not obtained by this year. Individuals with preexisting conditions will not be excluded from health insurance coverage.