Acute Care Provisions in the Health Care Reform Law

The Affordable Care Act (ACA) includes numerous provisions on acute care.   However, most of these provisions will be refined in the coming months by implementing regulations from the Department of Health and Human Services (HHS), the Department of Labor (DOL), and the Internal Revenue Service (IRS).   The information below reflects current information on the ACA as refined by any subsequent implementing regulations.

For Individuals

Access to Emergency Care

Annual Limits 

Appeal of Denial of Claims

Choice of Doctors

Consumer Protections

Dependent Coverage

Health Insurance Exchanges

Individual Responsibility (referred to as the "Individual Mandate")

Lifetime Limits 

Medicaid Expansion 

Pre-Existing Conditions Exclusions

Pre-Existing Conditions Insurance Plans (also known as 'High Risk Pools")

Premium Credit Subsidies

Recissions


For Employers


Fraud and Abuse Requirements

Free Choice Vouchers 

Grandfathered Plans

Other Employer Provisions

Providing Health Insurance Coverage for Employees

Small Business Tax Credits