Lic Adm Emp

Overview


The President and White House Staff react to the House of Representatives passing the bill on March 21, 2010.


Obama signing the bill at the White House


MaximumOut-of-Pocket Premium as Percentage of Family Income and federal poverty level[13] (Source: CRS)
PPACA includes numerous provisions to take effect over several years beginning in 2010. There is a grandfatherclause on policies issued before then that exempt them from many of these provisions, but other provisions may affect existing policies.
• Guaranteed issue will require policies to be issuedregardless of any medical condition, and partial community rating will require insurers to offer the same premium to all applicants of the same age and geographical location without regard to gender or mostpre-existing conditions (excluding tobacco use).[14][15][16]
• A shared responsibility requirement, commonly called an individual mandate,[17][18] requires that all individuals not covered by anemployer sponsored health plan, Medicaid, Medicare or other public insurance programs, secure an approved private insurance policy or pay a penalty, unless the applicable individual is a member of arecognized religious sect exempted by the Internal Revenue Service, or waived in cases of financial hardship.[19]
• Health insurance exchanges will commence operation in each state, offering a marketplacewhere individuals and small businesses can compare policies and premiums, and buy insurance (with a government subsidy if eligible).[20]
• Low income individuals and families above 100% and up to400% of the federal poverty level will receive federal subsidies[21] on a sliding scale if they choose to purchase insurance via an exchange (those from 133% to 150% of the poverty level would besubsidized such that their premium cost would be 3% to 4% of income).[22]
• The text of the law expands Medicaid eligibility to include all individuals and families with incomes up to 133% of the poverty...