Article

Affordable Care Act

Stephen H. Gorin, Julie S. Darnell and Heidi L. Allen

in Encyclopedia of Social Work

Published by NASW Press and Oxford University Press


Published online December 2014 | e-ISBN: 9780199975839 | DOI: https://dx.doi.org/10.1093/acrefore/9780199975839.013.830

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This entry describes the development and key provisions of the Patient Protection and Affordable Care Act (ACA), which instituted a major overhaul of the U.S. health system, much of which took effect in 2014. The key provisions of the ACA included an individual mandate to purchase insurance, an employer mandate to offer coverage to most workers, an expansion of Medicaid to all persons below 138 percent of the federal poverty level (FPL), minimum benefit standards, elimination of preexisting condition exclusions, and reforms to improve health-care quality and lower costs. This historic legislation has deep roots in U.S. history and represents the culmination of a century-long effort to expand health care and mental health coverage to all citizens.

Keywords: Medicare; Medicaid; Health care; Chronic illness; Health care social work; Employee benefits

Article.  7707 words. 

Subjects: Health, Illness, and Medicine ; Social Work Macro Practice ; Social Policy and Advocacy

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