The Affordable Care Act

The Affordable Care Act (ACA) was signed into law in March of 2010. The ACA includes sweeping changes to the nation’s health care coverage system and specifically to state insurance markets and their public health programs. The goal of the legislation was to expand access to insurance, reduce the rising costs of health care, improve the quality and efficiency of the health care delivery system, increase wellness and prevention initiatives, and expand consumer protections.

The Affordable Care Act Resources:

Stabilizing the Texas Insurance Market:
1332 Waivers

A resource guide on the Affordable Care Act’s Innovation Waivers

October 2017

As premiums continue to increase in Texas and uncertainty lingers around federal health care reform efforts, now more than ever Texas should explore taking advantage of the Affordable Care Act’s innovation waivers, also called 1332 waivers. This resource guide provides an overview of the waiver program and why Texas is a prime candidate for this option that would provide the state with more flexibility and certainty.

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Understanding the Affordable Care Act

An in-depth look at the Affordable Care Act and how costs will effect Texas taxpayers.

November 2015

Under the Affordable Care Act, consumers are able to shop for health insurance in online marketplaces called Exchanges during open enrollment, an annual window in which they can compare and buy or switch insurance policies and determine eligibility for financial assistance (subsidies) and public health insurance programs.

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The Affordable Care Act’s Impact on Texas

How Texas is responding to the Affordable Care Act.

April 2016

All health insurance companies in Texas must now follow the Affordable Care Act (ACA) regulations, and all Texans have been impacted by the new coverage requirements. As a result, the ACA has dramatically changed health coverage and the regulation of that coverage in Texas. The rate of Texans without health benefits decreased from 23 percent to 17 percent from 2013 to 2014.

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New Study Shows Impact of Affordable Care Act on Texas Health Coverage

The effects of the Affordable Care Act on the Texas Insurance Markets.

April 2016

The Affordable Care Act includes sweeping changes to the nation’s health care coverage system, and specifically to state insurance markets and their public health programs. All health insurance companies in Texas must now follow ACA regulations, and all Texans have been impacted by the new coverage requirements.

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TAHP Addendum to Milliman 2015 Enrollment Survey

A follow-up report to determine distribution of enrollment between plan types.

April 2016

The addendum to the 2015 Enrollment Survey showed that following the implementation of the Affordable Care Act the distribution by plan type shifted significantly in the individual insurance market.

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King v. Burwell: Understanding the Texas Impact

Issue Brief describing a Supreme Court ruling against the Obama Administration (ACA) that could impact nearly 1 million Texans.

June 2015

In King v. Burwell, the petitioners argue that ACA language clearly conveys that an FFM is not a marketplace “established by the state,” and therefore individuals purchasing health plans through an FFM are not eligible for subsidies. The petitioners argue that the language clearly states that subsidies only are available in state-based marketplaces, and that the IRS lacks authority to issue the rule that makes subsidies available to individuals purchasing health plans in a state with an FFM.

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