Overview on Affordable Care Act (ACA)


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Uploaded on Mar 10, 2022

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Overview on Affordable Care Act (ACA)

AFFORDABLE CARE ACT (ACA) Introduction The “Affordable Care Act” (ACA) is the name for the comprehensive health care reform law and its amendments. The law addresses health insurance coverage, health care costs, and preventive care. Source: www.hhs.gov About the Law The law was enacted in two parts: The Patient Protection and Affordable Care Act was signed into law on March 23, 2010 and was amended by the Health Care and Education Reconciliation Act on March 30, 2010. Source: www.hhs.gov Expanded Medicaid eligibility The act expanded Medicaid eligibility, created health insurance exchanges, mandated that Americans purchase or otherwise obtain health insurance, and prohibited insurance companies from denying coverage (or charging more) due to pre-existing conditions. Source: www.investopedia.com Subsidies for coverage Lower-income families qualify for subsidies for coverage purchased through the Marketplace. Source: www.investopedia.com Understanding the Affordable Care Act The ACA was designed to reduce the cost of health insurance coverage for people who qualify for it. Source: www.investopedia.com Premium tax credits The law includes premium tax credits and cost-sharing reductions to help lower expenses for lower-income individuals and families. Source: www.investopedia.com Essential health benefits • Laboratory services • Ambulatory patient services • Mental health and substance use disorder • Breastfeeding services • Emergency services • Pregnancy, maternity, • Family planning and newborn care • Hospitalization • Prescription medications • Preventive and wellness Source: www.investopedia.com Special Considerations A critical part of the original ACA was the individual mandate, a provision requiring all Americans to have healthcare coverage—either from an employer or through the ACA or another source—or face tax penalties. The mandate was eliminated in 2017. Source: www.investopedia.com Criticism of the Affordable Care Act (ACA) Critics of the ACA have pointed out that it represented an unprecedented expansion of federal power within the healthcare industry because it required all individuals to purchase a service (health insurance) whether they wanted to or not. Source: www.investopedia.com The Bottom Line The Affordable Care Act (ACA) was created in 2010 and is more commonly known as Obamacare. It extended healthcare coverage to millions of previously uninsured Americans. The act required that all Americans purchase health insurance and prohibited insurance companies from denying coverage due to pre-existing conditions. Source: www.investopedia.com