Which population group is excluded from Affordable Care Act?

Asked by: Rita Block DDS  |  Last update: January 21, 2026
Score: 4.5/5 (50 votes)

Immigrants who are not lawfully present are generally ineligible to enroll in health insurance through the Marketplace, receive tax credits through the Marketplaces, or enroll in non-emergency Medicaid and CHIP.

Who is not eligible for Affordable Care Act?

You are not eligible for Obamacare if: You do not live in the U.S. You are incarcerated. You are not a U.S. citizen, U.S. national, or lawfully present noncitizen in the U.S.

Who is exempt from ACA?

Hardship exemptions are available for those who cannot afford to pay for health insurance or for whom health insurance would exceed 8.16 percent of their gross household income.

Does the Affordable Care Act cover everyone?

You'll find the following protections for patients in the ACA California: Everyone in California has access to health insurance. Pre-existing health conditions cannot deny anyone health coverage or extra charges. Children can be listed on their parent's health plan until they are 26 years of age.

Which 3 populations do not have health care coverage even after the implementation of the Affordable Care Act ACA )?

Final answer: Under the ACA, younger healthy individuals who opt out of coverage, undocumented immigrants, and people who do not file taxes nor qualify for Medicaid still lack health insurance coverage.

Here's Why the Affordable Care Act Is So Controversial | History

30 related questions found

Who did not support the Affordable Care Act?

The Patient Protection and Affordable Care Act (ACA) was passed by a Democratic Congress and signed into law by a Democratic president in 2010. Republican congressmen, governors, and Republican candidates have consistently opposed the ACA and have vowed to repeal it.

Which population is less likely to be covered by a health care plan?

Reflecting the more limited availability of public coverage in some states, adults ages 19-64 are more likely to be uninsured than children. Despite gains across groups over time, racial and ethnic disparities in coverage persist.

Who is subject to 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 ...

Does the Affordable Care Act cover non citizens?

Under the Affordable Care Act, most immigrants qualify for health coverage, including the following groups: Lawful permanent residents (green card holders). Lawful temporary residents. Persons fleeing persecution, including refugees and asylees.

Does everyone accept Obamacare?

Understanding your coverage options under Obamacare

Just like any other health plan, your Marketplace plan may not be accepted by every doctor, hospital, or provider. Many Marketplace insurance plans have limited or “narrow” networks of doctors and hospitals that agree to accept these lower negotiated prices.

What is an ACA exemption?

Exemptions from the requirement to have health insurance

This means you no longer pay a tax penalty for not having health coverage. If you don't have health coverage, you don't need an exemption to avoid paying a tax penalty.

What determines ACA eligibility?

Under the Affordable Care Act (ACA), Medicaid coverage is extended to nearly all nonelderly adults with incomes at or below 138% of the federal poverty level (FPL) (about $23,556 for a family of three in 2022) in the 42 states (including DC) that opted to expand as of March 2023.

What is a small group under the ACA?

According to the Affordable Care Act (ACA), a small group is generally defined as a business with 1 to 50 employees. However, some states – including California, Colorado, and New York – extend the definition to include businesses with up to 100 employees.

What is the highest income to qualify for ACA?

In 2025, you'll typically be eligible for ACA subsidies if you earn between $15,060 and $60,240 as a single person. A family of four is eligible with a household income between $31,200 and $124,800.

Why are some US citizens without healthcare coverage?

Nearly all of the growth in the uninsured is among people aged 18 to 64, most of whom are working. The average family premium for employer based cover is $11 480 (£5900; €8800) a year. Employers have cut back on coverage and benefits in response to rising healthcare costs and adverse economic circumstances.

What is the Affordable Care Act prohibited?

The Office for Civil Rights (OCR) enforces Section 1557 of the Affordable Care Act (Section 1557), which prohibits discrimination on the basis of race, color, national origin, age, disability, or sex (including pregnancy, sexual orientation, gender identity, and sex characteristics), in covered health programs or ...

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.

Can green card holders get social security?

Lawfully present noncitizens of the United States who meet all eligibility requirements can qualify for Social Security benefits. This rule also applies to noncitizens authorized to work in the United States who got a Social Security number after December 2003.

Can undocumented immigrants get life insurance?

Not all carriers accept undocumented immigrants, but companies that do most likely require an Individual Taxpayer Identification Number (ITIN) and may have limitations on the death benefit amount or type of coverage that they offer.

Who is exempt from ACA reporting?

Businesses with fewer than 50 workers are exempt from the employer mandate, but if they chose to offer health coverage it must meet certain ACA specifications.

Can I refuse health insurance from my employer and get Obamacare?

Obamacare is available to everyone, whether or not their employers offer insurance. From a practical standpoint, though, there are financial consequences to doing this. Often, an employer subsidizes part or all of their employees' coverage.

Does the Affordable Care Act apply to all insurance?

The ACA affects virtually all aspects of the health system, including insurers, providers, state governments, employers, taxpayers, and consumers. The law built on the existing health insurance system, making changes to Medicare, Medicaid, and employer-sponsored coverage.

What is the healthiest race in America?

Whites are usually taken as the standard against which other groups are compared, but they are not necessarily in the best health. Hispanics appear to be healthier than whites on a number of measures, though not all. Asians are generally in better health than any other group (Hummer et al., 2004).

What group has the least access to healthcare?

People with lower incomes are often uninsured,6,7,8,9 and minority groups account for over half of the uninsured population.

Which populations are most likely to forego health care?

Overall, 16.9% of Americans report at least 1 financial barrier. Among those with private insurance, the poor (28.4%), near poor (24.3%), and those with functional impairments (22.9%) were more likely to report avoiding care due to cost.