What are the major provisions of the Affordable Care Act (ACA)?
Asked by: Itzel Rath | Last update: March 10, 2025Score: 5/5 (60 votes)
- Make affordable health insurance available to more people. ...
- Expand the Medicaid program to cover all adults with income below 138% of the FPL. ...
- Support innovative medical care delivery methods designed to lower the costs of health care generally.
What are the major provisions of the ACA?
If you get sick, an insurance company cannot cancel your policy. Health insurance companies cannot turn down your application because of your health status. Women can no longer be charged more for insurance than men. In fact, insurance rates cannot be based on gender or gender identity at all.
What are the major provisions of the Affordable Care Act (ACA) Quizlet?
What is a major feature of the Affordable Care Act?
Eliminating Annual Limits on Insurance Coverage.
The law prohibits new plans and existing group plans from imposing annual dollar limits on the amount of coverage an individual may receive.
Which of the following is a key provision of the ACA?
Final answer: The key provision from the Affordable Care Act mandates that firms with 50 or more employees must provide health insurance to those working at least 30 hours per week. Additionally, young adults can stay on their parents' plans until age 26, and there are protections against lifetime limits on coverage.
Here's Why the Affordable Care Act Is So Controversial | History
What are the three pillars of ACA?
1 The 3 pillars of the Affordable Care Act (ACA): access, quality, and cost.
What provisions did the Affordable Care Act attempt to enact?
It did so by expanding Medicaid to people with incomes up to 138% of the federal poverty level (the poverty level in the continental U.S. is $15,060 for a single individual in 2024); creating new health insurance exchange markets through which individuals can purchase coverage and receive financial help to afford ...
What are two major benefits of the Affordable Care Act?
Among other things, the ACA made it easier for many people to get coverage, removed annual and lifetime limits on essential health benefits and put in place requirements that individuals have medical coverage or pay a tax penalty.
Is ACA the same as Obamacare?
“Obamacare” and the “Affordable Care Act” are the SAME thing. A recent article in the New York Times reported survey results showing that one-third of the people surveyed did not know that “Obamacare” and the “Affordable Care Act” refer to the same law.
What were the two main goals of the Affordable Care Act ACA with respect to health insurance?
The Patient Protection and Affordable Care Act (ACA) has two main goals: (1) to make health care coverage more available, affordable, and acceptable and (2) to slow the growth of health care costs in the U.S.
What is the ACA affordability provision?
In 2025, a job-based health plan is considered "affordable" if your share of the monthly premium in the lowest-cost plan offered by the employer is less than 9.02% of your household income. The lowest-cost plan must also meet the minimum value standard.
Which of the following provisions of the Affordable Care Act ACA came into effect in January 2014?
The ACA required guaranteed issue and renewability of coverage and prohibited insurers from imposing pre-existing condition exclusions on coverage. These provisions went into effect on January 1, 2014.
What are the major provisions of a health insurance policy?
Mandatory Uniform Policy Provisions
The provisions that cover the responsibilities of the policyholder include requirements that they notify the insurer of a claim within 20 days of a loss, provide proof of the extent of that loss, and update beneficiary information when changes take place.
What are the major provisions of the ACA quizlet?
Its key provisions include having the insurers cover preventive services, requiring the insurers to cover young adults under their parent's plan until the age of 26, individuals with preexisting conditions are not denied coverage, prescriptions medications are covered, and the annual and lifetime benefits have no limit ...
What is the Affordable Care Act in simple terms?
The Affordable Care Act (ACA) is a comprehensive reform law, enacted in 2010, that increases health insurance coverage for the uninsured and implements reforms to the health insurance market. This includes many provisions that are consistent with AMA policy and holds the potential for a better health care system.
What are 5 mandated benefits under the ACA?
The 10 categories of benefits in an EHB package are: 1) ambulatory patient services, 2) emergency services, 3) hospitalization, 4) maternity and newborn care, 5) mental health and substance use disorder services, 6) prescription drugs, 7) rehabilitative and habilitative services and devices, 8) lab services, 9) ...
What does ACA cover?
A set of 10 categories of services health insurance plans must cover under the Affordable Care Act. These include doctors' services, inpatient and outpatient hospital care, prescription drug coverage, pregnancy and childbirth, mental health services, and more. Some plans cover more services.
How is ACA different from Medicare?
Marketplace plans were created by the Affordable Care Act. These plans are private insurance plans that are designed to match certain needs and budgets. Medicare is a health program offered by the government to older adults and people with certain disabilities. You cannot have both Obamacare and Medicare.
How has the ACA impacted HealthCare?
In addition, the law has been associated with increased health care access, affordability, and use of preventive and outpatient services among low-income populations, though impacts on inpatient utilization and health outcomes have been less conclusive.
What is the biggest problem with the Affordable Care Act?
Impact on Individual Insurance
It was also known that consumers would face a very different health insurance world under the ACA, with some people seeing their premiums go down and some seeing them go up, and the majority of Americans seeing higher deductibles, higher copays, and a smaller pool of providers.
Who is not eligible for Obamacare?
Must live in the United States. Must be a U.S. citizen or national (or be lawfully present). Learn about eligible immigration statuses. Cannot be incarcerated in prison or jail.
What does the ACA law restrict?
For most plans starting on or after September 23, these rules stop insurance companies from imposing pre-existing condition exclusions on your children; prohibit insurers from rescinding or taking away your coverage based on an unintentional mistake on an application; ban insurers from setting lifetime limits on your ...
What is a controversial provision of the Affordable Care Act?
The heart of the ACA — and its most controversial provision — is the individual mandate. This provision requires individuals to obtain health insurance or pay the aforementioned penalty. The government advanced two primary theories supporting the individual mandate's constitutionality.
Which is better, Medicaid or Obamacare?
Since Medicaid is intended for those with very low incomes, anything other than token small amounts of cost-sharing would be unaffordable to Medicaid recipients and present a potential barrier to care. On the other hand, Obamacare health plans often come with substantial deductibles, copayments, and coinsurance.