What does health care reform do in the first year?

Here's the list from Speaker Pelosi's office. A summary:

1. Small business tax credits

2. Begins to close Medicare donut hole

3. Free preventive care under Medicare

4. Re-insurance plan for companies that provide insurance to retirees <>

5. Ends rescissions

6. Bans discrimination against children with pre-existing conditions

7. No lifetime limits on coverage

8. Restricts annual limits on coverage

9. Free preventive care under new plans

10. New appeals process

11. Insurers have to pay 80% or more of premiums in health care

12. Temporary high-risk pool available to uninsured

13. Children can be covered under parents' plans up to 27th birthday

14. More money for community health centers

15. More money to train primary care doctors

16. Prohibit discrimination based on income

17. Helps states set up offices of health insurance consumer assistance

18. Creates public long-term care insurance program

But how about the tax increases and spending cuts needed to pay for the plan? Here's a complete list of the bill's provisions. I see:

1. Indoor tanning services tax, July 2010 (really?)

2. Begins to reduce payments under Medicare Advantage (2011)

3. Pharmaceutical manufacturers fee (2011)

4. Limit health flexible savings accounts (2013)

5. Eliminates deduction for employer Medicare Part D subsidy (2013)

6. Increased threshold for itemized deductions for health care (2013)

7. Additional hospital insurance tax for high wage workers (2013)

8. Medical device excise tax (2013)

9. Fee for patient centered outcomes research (2013)

10. Health insurance provider fee (2014)

11. Excise tax on high-cost employer-provided health plans (2018)

The timing of the rollout of these provisions is smart from a political standpoint. It's going to be difficult to campaign on repeal of the plan when so many of the benefits are introduced in 2010 and the costs are delayed until 2013. It also makes sense economically: taxes are delayed until the recession is over.