Here are 13 changes in the massive overhaul that could impact your tax bill, for better or worse.

The new health care reform law is chock-full of new taxes and tax increases that will affect many individuals and businesses, but it will be years before most of these hikes take a bite out of your — or your company’s — wallet. The law also has tax breaks to help both individuals and small businesses pay for insurance.

e.g:

9. A hike in the 7.5% floor on itemized deductions for medical expenses to 10%, beginning in 2013. ….

10. A new 40% excise tax, beginning in 2018, on high-cost health plans,…

11. A new tax on individuals who don’t obtain coverage…starting at the greater of $95, or 1% of income, in 2014, and rising to the greater of $695, or 2.5% of income, in 2016.