What provision in the Affordable Care Act requires US residents to maintain health insurance?
Asked by: Dr. Emmitt Luettgen | Last update: November 9, 2023Score: 5/5 (24 votes)
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 ...
Which act established provisions that require US citizens to obtain health insurance?
The Patient Protection and Affordable Care Act, referred to as the Affordable Care Act or “ACA” for short, is the comprehensive health care reform law enacted in March 2010.
What is the key provision of the Affordable Care Act?
Key Features of the Affordable Care Act
It created state- or multistate-based insurance exchanges to help individuals and small businesses purchase insurance. The law expanded Medicaid coverage for low-income individuals and allows young adults to remain on parents' policies until age 26.
What is Section 1312 of the Affordable Care Act?
Section 1312 of the Affordable Care Act requires that Members of Congress and designated congressional staff must obtain coverage by health plans created under the Affordable Care Act or coverage offered via an Affordable Insurance Exchange (Exchange).
What is Section 1104 of the Affordable Care Act?
What are the ACA Operating Rules? Section 1104 of the Administrative Simplification provisions of the Patient Protection and Affordable Care Act (ACA) established new requirements for administrative transactions that will improve the utility of existing HIPAA transactions and reduce administrative costs.
ACA 101: A Comprehensive Guide to the Affordable Care Act
What is Section 1331 of the Affordable Care Act?
Section 1331 of the Affordable Care Act gives states the option of creating a Basic Health Program (BHP), a health benefits coverage program for low-income residents who would otherwise be eligible to purchase coverage through the Health Insurance Marketplace.
What is Section 1311 of the Affordable Care Act?
Under section 1311(e)(3) of the Affordable Care Act, as implemented by regulations at 45 CFR 155.1040(a) and 156.220, health insurance issuers seeking certification of a health plan as a qualified health plan (QHP) must make accurate and timely disclosures of certain information to the appropriate Health Insurance ...
What is Section 1101 of the Affordable Care Act?
Sec. 1101. Immediate access to insurance for people with a preexisting condition. Enacts a temporary insurance program with financial assistance for those who have been uninsured for several months and have a pre-existing condition.
What is Section 1332 of the Affordable Care Act?
Section 1332 of the Affordable Care Act (ACA) permits a state to apply for a State Innovation Waiver (also referred to as section 1332 waiver) to pursue innovative strategies for providing residents with access to high quality, affordable health insurance while retaining the basic protections of the ACA.
What is Section 3021 of the Affordable Care Act?
Section 3021 of the ACA created the Center for Medicare & Medicaid Innovation (CMMI), an innovation lab within the Centers for Medicare & Medicaid Services (CMS) that is testing over 20 models aimed at improving quality and reducing costs within Medicare and Medicaid.
What are the two main parts of the Affordable Care Act?
The law has 2 parts: the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act.
What were the key requirements of the Affordable Care Act for an organization?
A mandate that employers with 50 or more full-time employees offer affordable, essential coverage to at least 95 percent of full-time employees and their dependents. Provisions for insurance premium subsidies for certain low- and middle-income households.
What provisions are included in the Affordable Care Act that aim to reduce health disparities?
- A national quality strategy,
- Increased reliance on value-based purchasing,
- Expansion of meaningful use of electronic health records (EHRs),
- Better care coordination,
- Development of quality measures for Medicaid and Medicare, and.
What are the major provisions of the Affordable Care Act of 2010 in the United States?
On September 23, 2010, a number of ACA provisions took effect, including the elimination of lifetime limits on coverage, restrictions on annual limits on coverage, prohibition on rescinding coverage except in cases of fraud, and the elimination of pre-existing condition exclusions for children.
What are the provisions of the Affordable Care Act quizlet?
Extends health care coverage to 30 million uninsured Americans, provides substantial subsidies to uninsured individuals and small business firms to make health insurance more affordable, contains provisions to lower health care costs in the long run, and prohibits insurers from engaging gin certain abusive practices.
Does the Affordable Care Act require everyone to have insurance?
As of Jan. 1, 2019, there is no mandate for health insurance at the federal level. Before 2019, under the ACA, also called Obamacare, U.S. adults who were not otherwise eligible for an exemption were required to have health insurance coverage for themselves and their families.
What is Section 1402 of the Affordable Care Act?
Under section 1402 (d)(1) of the ACA, issuers of qualified health plans (QHPs) must eliminate all cost-sharing (co-pays and deductibles) for Indians, defined as members of federally recognized Indian tribes and shareholders in Alaska Native regional or village corporations who have household incomes less than 300 ...
What is Section 2702 of the Affordable Care Act?
Section 2702 of the Patient Protection and Affordable Care Act of 2010 (The Affordable Care Act) requires the Secretary to issue Medicaid regulations effective July 1, 2011 prohibiting federal payments to states under section 1903 of the Social Security Act for any amounts expended for providing medical assistance for ...
What is Section 4104 of the Affordable Care Act?
Section 4104 of the Affordable Care Act waives the coinsurance or copayment and deductible for Medicare-covered preventive services that the U.S. Preventive Services Task Force (USPSTF) recommends.
What is Section 2302 of the Affordable Care Act?
Section 2302 of the ACA requires that programs for children enrolled in state Medicaid or Children's Health Insurance Programs (CHIP) must allow patients to receive hospice care with disease-modifying treatment.
What is Section 125 of the Affordable Care Act?
The Section 125 Cafeteria Plan Document
Without the written plan in place, the employer has no authority to provide benefits to employees on a tax-advantaged basis. During an audit, an employer without it may be found owing back taxes (and, perhaps, penalties) on the improperly pre-taxed premiums.
What is Section 9007 of the Affordable Care Act?
FINAL IRS REGULATIONS IMPLEMENTING SECTION 9007
In assessing community health needs, hospitals must solicit and take into account input from a governmental health department and from medically underserved, low-income, and minority communities.
What is Section 2716 of the Affordable Care Act?
Requires group health plans other than self-insured plans to satisfy the requirements of section 105(h)(2) of the Internal Revenue Code of 1986 relating to prohibition on discrimination in favor of highly compensated individuals.
What is Section 1561 of the Affordable Care Act?
Section 1561 requires HHS, in consultation with the Health Information Technology (HIT) Policy Committee and the HIT Standards Committee (the Committees), to develop interoperable and secure standards and protocols that facilitate electronic enrollment of individuals in Federal and State health and human services ...
What is Section 1411 of the Affordable Care Act?
Section 1411(a) of the Affordable Care Act directs the Secretary of the Department of Health and Human Services (HHS) to establish a program under which Exchanges will determine whether individuals are eligible to enroll in QHPs through the Exchange, and whether they are eligible for advance payments of the premium tax ...