The bill prohibits rescissions, an insurance industry practice that denies health cover to policyholders after they have become sick or have had an accident. It also extends the same protections available in the Exchange to employer-sponsored plans, but phases these changes in over time. These protections consist of caps on out-of-pocket expenses; bans on annual and lifetime benefit limits and denials of coverage or increased premiums because of gender or a preexisting condition (such as a health problem); and restrictions on how much premiums can be increased because of a policyholder’s age. The legislation prohibits health plans from spending less than 85 percent of premium dollars on medical care, as opposed to administrative costs or profits. All plans must also permit young adults to receive coverage under their parents’ plans until they are 27 years old.