What are the provisions of the Affordable Care Act quizlet?
Asked by: Vernie Collins | Last update: November 25, 2025Score: 4.6/5 (65 votes)
What are the provisions of the Affordable Care Act?
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 Quizlet?
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 does it mean that one of the main provisions of the original Affordable Care Act was the individual mandate?
The individual mandate is a provision within the Affordable Care Act (ACA) that required individuals to purchase minimum essential coverage – or face a tax penalty – unless they were eligible for an exemption.
ACA 101: A Comprehensive Guide to the Affordable Care Act
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 primary purpose of the Affordable Care Act?
Overview of the Affordable Care Act (ACA)
The ACA has three primary goals at its foundation, collectively known as the Triple Aim. The Triple Aim goals are: improve patient care, improve population health, and reduce the cost of health care.
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.
Is the Affordable Care Act 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 did the Affordable Care Act prohibit?
Some of the requirements (a prohibition against rescissions [i.e., cancellations], a ban on exclusion of children younger than 19 years of age with preexisting conditions, coverage of young adults up to 26 years of age under their parents' plans, coverage of clinical preventive benefits, expanded appeals rights when ...
Which of the following provisions of the Affordable Care Act was struck down by the Supreme Court in 2012?
Effectively, Congress was forcing states to either agree to the ACA and provide for Medicaid expansion or sacrifice their budgets and abandon their poor by opting out. Because the provision threatening Medicaid funding was severable from the rest of ACA, it was the only provision struck down by the Court.
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 provisions of the Affordable Care Act ACA 2010 was overturned by Congress in 2017?
As part of the Tax Cuts and Jobs Act of 2017, Congress eliminated the Affordable Care Act's tax penalty for most people who are not covered by health insurance effective in 2019.
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 are the pros and cons of the Affordable Care Act?
The pros of the ACA include prohibiting insurance companies from denying coverage based on health history and providing subsidies to reduce premiums and out-of-pocket costs. The cons of the ACA include small business challenges and limited provider options in some regions.
Who benefits from the Affordable Care Act?
About the Affordable Care Act
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). Expand the Medicaid program to cover all adults with income below 138% of the FPL.
What is the difference between Medicare and Affordable Care Act?
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.
What is one requirement of the Affordable Care Act?
One provision contained in the law is known as the “individual mandate” which requires that all Americans (regardless of age) be covered by health insurance (through a group or individual plan) or pay an annual financial penalty assessed by the Internal Revenue Service, unless waived under certain limited circumstances ...
What were three key items of the Patient Protection and Affordable Care Act?
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 are the 10 essential health benefits under the ACA?
- Ambulatory patient services (outpatient services)
- Emergency services.
- Hospitalization.
- Maternity and newborn care.
- Mental health and substance use disorder services, including behavioral health treatment.
- Prescription drugs.
What does Obamacare 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.
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.
How much is Obamacare a month for a single person?
Monthly premiums for Affordable Care Act (ACA) Marketplace plans vary by state and can be reduced by premium tax credits. The average national monthly health insurance cost for one person on an Affordable Care Act (ACA) plan without premium tax credits in 2024 is $477.
What is the difference between Medicaid and Obamacare?
While the two share various similarities, they vary greatly in many regards. On a general basis, Obamacare, or the Affordable Care Act, aims to provide affordable health coverage to all Americans. On the other hand, Medicaid provides coverage for those in need that cannot afford coverage otherwise.