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Health Care Reform

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Health Care Reform

The Patient and Affordable Care Act (ACA) was enacted in 2010 as the vehicle to provide health care coverage to all Americans by 2014.  The ACA is  the most significant federal legislation affecting people with disabilities since the passage of the ADA in 1992.

  • It eliminates insurance barriers for pre-existing conditions;

  • Removes yearly or lifetime coverage caps;

  • Provides for full coverage of certain preventive care;

  • Provides significant financial incentives to states to shift their state plan and optional services away from institutional and congregate care to more integrated community support settings;

  • Provides numerous opportunities and incentives for states to pilot demonstrations and innovations to achieve better health outcomes, greater access to care and supports, and cost efficiencies.

The Supreme Court ruled the ACA as constitutional in June of 2012; however, it left to the discretion of the states whether or not to expand Medicaid to cover individuals whose income is 138% of the Federal Poverty Level (FPL).  It also provides federal stipends for individuals on a sliding scale up to 400% of the FPL if they purchase insurance on a state or federal exchange.