TAILIEUCHUNG - Estimates for the Insurance Coverage Provisions of the Affordable Care Act Updated for the Recent Supreme Court Decision

The first conclusion of the review was that the later generation of social funds had better integration of sustainability elements in their project design than the earlier generation of social funds. There was more em- phasis on active community participation throughout the project cycle, including at the disbursement and supervision stages in cases when user committees organized maintenance and operated accounts from which they disbursed resources. More often, the later generation of projects re- quired community contributions, as opposed to sponsor contributions, and attempted to ensure that the demand for the project was coming from the community. There is more attention to the suitability of technical op- tions and alternative. | Supreme Court Decision The Congressional Budget Office CBO and the staff of the Joint Committee on Taxation JCT have updated their estimates of the budgetary effects of the health insurance coverage provisions of the Affordable Care Act ACA to take into account the Supreme Court decision issued on June 28 This report describes those new estimates how they were derived and how they differ from the previous ones. The insurance coverage provisions of the ACA establish a requirement for most legal residents of the United States to obtain health insurance or pay a penalty tax create insurance exchanges through which certain individuals and families may receive federal subsidies to substantially reduce their cost of purchasing health insurance significantly expand eligibility for Medicaid now at each state s option impose an excise tax on certain health insurance plans with relatively high premiums establish penalties on certain employers who do not provide minimum health benefits to their employees and make other changes to prior The Supreme Court s decision has the effect of allowing states to choose whether or not to expand eligibility for coverage under their Medicaid program pursuant to the ACA. Under that law as enacted but prior to the Court s ruling the Medicaid expansion appeared to be mandatory for states that wanted to continue receiving federal matching funds for any part of their Medicaid Hence CBO and JCT s previous estimates reflected the expectation that every state would expand 1 See National Federation of Independent Business v. Sebelius 132 S. Ct. 2566 2012 . The ACA comprises the Patient Protection and Affordable Care Act Public Law 111-148 and the health care provisions of the Health Care and Education Reconciliation Act of 2010 . 111-152 . As used here the term ACA includes the effects of subsequent related changes in statute. 2 For more information on the insurance coverage provisions of the ACA see the statement of .

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