The Patient Protection and Affordable Care Act (PPACA) is divided into 10 titles and contains provisions that become effective immediately, 90 days after stipulation, and six months after its entry into force, and gradual provisions through to 2020. Here are some key provisions of the ACA. For simplicity, the amendments to the Health and Education Care Act 2010 are integrated into this timeline.
During the implementation of the law, a provisional regulation applies to certain types of insurance funded by employers, called "mini-med" or low-cost, low-cost profit plans for entrepreneurs who buy them for their employees, but close coverage at the very low. A waiver allows employers to temporarily circumvent rules that terminate the annual and lifetime limits on coverage, and is enforced to encourage entrepreneurs and insurers who offer mini-med plans not to withdraw medical coverage before the regulation is enacted, by which time small entrepreneurs and individuals will be able to buy non-capped coverage through the exchange. Employers are only given a waiver if they can demonstrate that complying with the limit will mean a significant reduction in employee benefit benefits or a significant increase in the employee's premium.
On January 26, 2011, HHS said it has provided a total of 733 relief for 2011, which includes 2.1 million people, or about 1% of the population insured personally. In June 2011, the Obama Administration announced that all applications for a new waiver and renewal of existing ones should be submitted on September 22 of that year, and no new releases will be approved after this date.
Limited benefit plans are sometimes offered to low-paid and part-time workers, for example in fast-food restaurants or purchased directly from insurance companies. Most health insurance policies provided by companies starting on or after September 23, 2010, and before September 23, 2011, can not establish an annual closing cover lower than $ 750,000, the lower limit being raised gradually until 2014, when there is no insurance hats are allowed at all. By 2014, no health insurance, whether sold on individual or group markets, will be allowed to place an annual limit on coverage.
Among those who receive waivers are employers, large insurance companies, such as Aetna and Cigna, and union plans covering about one million employees. McDonald's, one of the companies that accept a waiver, has 30,000 employees per hour which is set to have a $ 10,000 annual limit. Relief is issued for one year and can be re-applied. Referring to the adjustment as a "balancing act", Nancy-Ann DeParle, director of the Office of Health Reform at the White House, said, "The president wants to have a smooth track to 2014."
Video Provisions of the Patient Protection and Affordable Care Act
Delay
On July 2, 2013, the Obama Administration announced on the Ministry of Finance website that it would delay the employer's mandate for one year, under the Proposed Rules REG-138006-12 through 2015. In the statement, the Administration said they postponed the implementation in the To fulfill the two objectives: "Firstly, this will allow us to consider ways to simplify new reporting requirements that are legally appropriate, secondly it will provide time to adjust health coverage and reporting systems while employers move towards making affordable and accessible health coverage for their employees. "
The announcement was met with harsh criticism by some who claimed that the authority to delay the enforcement of the law was at Congress. Senate Minority Leader Mitch McConnell believes that President Obama's authorization to postpone provisions exceeds the limits of his executive power. Republican House brings two bills to the ballot to draw attention to the matter: Authority for the Mandatory Snooze Act; and the Fairness for American Families Act, which will apply the same delay to the individual's mandate, arguing that the individual's mandate should be treated in the same way - actions that oppose the Obama Administration.
Constitutional Specialist Simon Lazarus responded to the criticism, saying that the delay was the legitimate wisdom of the Executive's power: "As a result, the Administration explained the delay as a reasonable adjustment for phase-in enforcement, not a refusal to enforce... To ensure it, The federal administrative passes federal courts to force agencies to initiate legally required 'severely delayed' actions, but the courts have found the delay to be unreasonable only in rare cases where, unlike one this, inaction has been going on for several years, and recalcitrant agents can not offer credible persuasive or final reasons for dithering. "Critics of the DPR's comparison to employers and individual mandates also show that the two provisions are qualitatively different.
In August, another provision was postponed for one year: the cap premium on the group plan. This is to give employers time to set up a new accounting system for premium hats, but hats are still planned to apply as scheduled for insurance plans on the exchange.
On February 10, 2014, the Ministry of Finance issued Decree of the Minister of Finance 9655, which is the final rule, which will delay the employer's mandate until 2016 for employers with 50 to 99 workers. The 9655 Treasury Decree modifies the Proposed Regulation REG-138006-12.
Maps Provisions of the Patient Protection and Affordable Care Act
See also
- HealthCare.gov
- Health Care and Education Reconciliation Act 2010
- Federal Data Services Hub
References
Source of the article : Wikipedia