A primary purpose of the legislation is to assure that almost all Americans have access toaffordable health insurance.

The following are examples of coverage options for 2024.

By the spring of 2024, all states will be using the 2024 FPL numbers.

Graphic with family and stethoscope

alexsl / iStockphoto

But those caps were eliminated by the American Rescue Plan.

But Medicare Advantage enrollment has continued to increase in the years since the ACA was signed into law.

exits the donut hole).

Summary

The ACA has changed many aspects of the American health insurance system.

The effects were most noticeable in the individual/family (self-purchased) market and for Medicaid eligibility.

It also expanded eligibility for Medicaid, ensuring health coverage for millions of low-income people.

Healthinsurance.org.A state-by-state guide to Medicaid expansion, eligibility, enrollment and benefits.

Centers for Medicare and Medicaid Services.Medicaid, Children’s Health Insurance Program, and Basic Health Program Eligibility Levels.

Rae, Matthew; Cox, Cynthia; Claxton, Gary; McDermott, Daniel; Damico, Anthony.

Kaiser Family Foundation.How the American Rescue Plan Act Affects Subsidies for Marketplace Shoppers and People Who Are Uninsured.

Centers for Medicare and Medicaid Services.Effectuated Enrollment: Early 2023 Snapshot and Full Year 2022 Average.

Healthinsurance.org.Can small businesses use the ACAs health insurance marketplaces (exchanges)?

Healthinsurance.org.What is a grandmothered health plan?

Centers for Medicare and Medicaid Services.Medicare Monthly Enrollment.

Medicareresources.org.How did the Medicare Donut Hole Change for 2023?

U.S. Centers for Medicare & Medicaid Services.Read the Affordable Care Act.