What are the major provisions of the Affordable Care Act ACA quizlet?

• Medicaid Expansion.
• Subsidies to purchase private insurance.
• Creation of Regulated Markets for Purchasing Private Insurance with Subsidies.
• Mandates for Individuals and Employers.

What 3 things did the Affordable Care Act do?

The Patient Protection and Affordable Care Act (ACA) has 3 main objectives: (1) to reform the private insurance market—especially for individuals and small-group purchasers, (2) to expand Medicaid to the working poor with income up to 133% of the federal poverty level, and (3) to change the way that medical decisions ...

What were the major provisions of the Patient Protection and Affordable Care Act of 2010?

Larger employers are required to offer affordable, comprehensive health insurance to full‐time employees (employer mandate). Individuals who do not have ESI must purchase insurance on their own or pay a penalty (individual mandate), and premium tax credits are available to some.

What was one of the more controversial provisions of the Affordable Care Act?

Individual mandate. The most legally and politically controversial aspect of the ACA, the individual mandate requires Americans to purchase health insurance or face a government penalty, with some exceptions—particularly for low-income individuals who cannot afford to buy insurance [3].

What is the individual mandate provision of the ACA required quizlet?

Under the Affordable Care Act, the individual mandate requires all Americans to purchase health insurance. The individual mandate was a key provision of the Affordable Care Act (ACA), which aimed to increase the number of Americans with health insurance and reduce the overall cost of healthcare.

What is the Affordable Care Act ACA explained?

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 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.

What does the ACA include?

It applies to people aged 16 and over. It covers decisions about day-to-day things like what to wear or what to buy for the weekly shop, or serious life-changing decisions like whether to move into a care home or have major surgery. Examples of people who may lack capacity include those with: dementia.

What are the provisions of the Affordable Care Act quizlet?

What were the benefits of the ACA?

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.

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 provision is included under the Affordable Care Act 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 is the individual mandate provision of the Affordable Care Act?

The individual mandate was a provision within the ACA that required individuals to purchase what's known as "minimum essential coverage" or face a tax penalty, unless they were eligible for an exemption. Mandate supporters argued that a penalty would increase the number of people who had health insurance.

What are the mandates of the Affordable Care Act?

The law has 3 primary goals: Make affordable health insurance available to more people. The law provides consumers with subsidies (“premium tax credits”) that lower costs for households with incomes between 100% and 400% of the federal poverty level (FPL).

What are the major provisions of the Affordable Care Act (ACA) inquizitive?

The major provisions of the Affordable Care Act (ACA) include the expansion of Medicaid, the establishment of state-based insurance exchanges, and the implementation of an individual mandate. The expansion of Medicaid allowed more low-income individuals to qualify for healthcare coverage.

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.

Why was the individual mandate provision of the Affordable Care Act controversial?

Opponents suggest that Congress overstepped its authority by regulating “inactivity,” that is, compelling people to purchase insurance when they otherwise would not. The U.S. Supreme Court is set to review the issues and the final ruling will shape the effectiveness of health reform.

What were the major changes contained in the Patient Protection and Affordable Care Act of 2010?

The changes include requiring hospitals to undertake ongoing community health needs assessments; furnish emergency care in a nondiscriminatory fashion (a requirement already applicable under the Emergency Treatment and Active Labor Act; which is unaltered by the Affordable Care Act); alter their billing and collection ...

What major insurance provisions of the ACA were implemented in 2014?

NEW CONSUMER PROTECTIONS

Effective January 1, 2014. 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.

What are the 10 essential health benefits under the ACA?