What United States Patient Protection and Affordable Care Act (ACA / PPACA) (Public Law 111-148, 2010): Title I Quality Affordable Health Care, Health Insurance Market Reforms, Dependent Coverage to Age 26, Prohibition of Preexisting Condition Exclusions, Title II Medicaid Expansion, Title V Workforce, Title VI Transparency, Section 1501 Individual Responsibility, and Section 1513 Employer Shared Responsibility requires
The Patient Protection and Affordable Care Act, Public Law 111-148 of 23 March 2010, commonly known as the Affordable Care Act or PPACA, and as supplemented by the Health Care and Education Reconciliation Act of 2010 (Public Law 111-152), is the principal federal statute reforming the United States health insurance market and expanding health insurance coverage, administered by the Department of Health and Human Services through the Centers for Medicare Medicaid Services and the Center for Consumer Information Insurance Oversight, the Department of the Treasury Internal Revenue Service, and the Department of Labor Employee Benefits Security Administration. ACA, Title I (Quality, Affordable Health Care for All Americans) contains the immediate health insurance market reforms including prohibitions on lifetime and annual limits, prohibition of rescissions, required preventive service coverage without cost-sharing, extension of dependent coverage to age 26, the establishment of Health Insurance Marketplaces, and the premium tax credit. ACA, Title II (Role of Public Programs) addresses Medicaid coverage expansion for lower-income populations and enhanced support for the Children's Health Insurance Program. ACA, Title V (Health Care Workforce) focuses on workforce development. ACA, Title VI (Transparency and Program Integrity) implements physician ownership disclosures (Sunshine Act), nursing home transparency requirements, and enhanced Medicare and Medicaid integrity provisions. ACA, section 1001 amends the Public Health Service Act including dependent coverage to age 26. ACA, section 1201 prohibits preexisting condition exclusions. ACA, section 1501 enacted the individual responsibility provision (individual mandate) requiring most individuals to maintain minimum essential coverage (with the penalty reduced to zero by Tax Cuts and Jobs Act 2017). ACA, section 1513 (codified at 26 U.S.C. 4980H) imposes the employer shared responsibility provision (employer mandate) requiring applicable large employers (50 or more full-time equivalent employees) to offer affordable minimum value coverage to full-time employees or pay a shared responsibility payment. The Act is the controlling federal instrument for United States health insurance market reform and expansion.
Pillar: Insurance & Risk · Authority: United States Government - Department of Health and Human Services (CMS, CCIIO), Department of the Treasury (IRS), and Department of Labor (EBSA) · Version: 1.0.0 · Last updated:
Primary source: https://www.govinfo.gov/content/pkg/PLAW-111publ148/html/PLAW-111publ148.htm
SHA-256 integrity: a2e8d2ca79142446fee43f3b8b3684c324b061ea18d3bde2534ddbe0631f00fe
Primary Citations — 8 traced to source
- ACA, Title I - Quality Affordable Health Care for All Americans including market reforms.
- ACA, section 1001 - amendments to Public Health Service Act including dependent coverage to age 26 (42 U.S.C. 300gg-14) and preventive services coverage (42 U.S.C. 300gg-13).
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