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 Resource Type: Report
 Collection: Congressional Research Service Reports
The Affordable Care Act's (ACA) Employer Shared Responsibility Determination and the Potential ACA Employer Penalty

The Affordable Care Act's (ACA) Employer Shared Responsibility Determination and the Potential ACA Employer Penalty

Date: September 1, 2015
Creator: Whittaker, Julie M.
Description: This report describes the potential employer penalties related to the Patient Protection and Affordable Care Act (ACA; P.L. 111-148, as amended) as well as regulations to implement the ACA employer provisions. The regulations address insurance coverage requirements, methodologies for determining whether a worker is considered full time, provisions relating to seasonal workers and corporate franchises, and other reporting requirements.
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The Patient Protection and Affordable Care Act's Essential Health Benefits (EHB)

The Patient Protection and Affordable Care Act's Essential Health Benefits (EHB)

Date: August 27, 2015
Creator: Uberoi, Namrata K.
Description: This report provides an overview of the first component of the essential health benefits (EHB) package--a core package of health care services required by the Patient Protection and Affordable Care Act (ACA; P.L. 111-148, as amended) for non-group and small-group private health insurance markets. The report examines how the EHB are defined, regulations related to the EHB, state variation in the EHB, applicability of the EHB to health plans, and how the EHB interact with other ACA provisions.
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Health Insurance: Small is the New Large

Health Insurance: Small is the New Large

Date: August 26, 2015
Creator: Mach, Annie L.
Description: This report discusses aspects of the Patient Protection and Affordable Care Act that expand the definition of small employer to include employers with 100 or fewer employees. States must implement the expanded definition for plan years beginning in 2016, but have the option of implementing the expanded definition prior to the deadline.
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Medicare Financial Status: In Brief

Medicare Financial Status: In Brief

Date: August 10, 2015
Creator: Davis, Patricia A.
Description: This report provides an overview on Medicare, discussing its various components and sources of funding. The report also examines projections for spending within the program.
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Centers for Medicare & Medicaid Services (CMS) Proposed Rule on Medicaid Managed Care: Frequently Asked Questions

Centers for Medicare & Medicaid Services (CMS) Proposed Rule on Medicaid Managed Care: Frequently Asked Questions

Date: July 15, 2015
Creator: Blom, Kirstin B.
Description: This report responds to a series of frequently asked questions (FAQs) identified to address some of the major updates included in the proposed rule. The FAQs summarize provisions such as the introduction of a minimum medical loss ratio (MLR), guidance on enrolling the long-term services and supports (LTSS) population in managed care, and network adequacy.
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Use of the Annual Appropriations Process to Block Implementation of the Affordable Care Act (FY2011-FY2016)

Use of the Annual Appropriations Process to Block Implementation of the Affordable Care Act (FY2011-FY2016)

Date: July 10, 2015
Creator: Redhead, C. S. & Cornell, Ada S.
Description: Congress remains deeply divided over implementation of the Patient Protection and Affordable Care Act (ACA), the health reform law enacted in March 2010. Since the ACA's enactment, lawmakers opposed to specific provisions in the ACA or the entire law have repeatedly debated its implementation and considered bills to repeal, defund, delay, or otherwise amend the law. This report summarizes the ACA-related language added to annual appropriations legislation by congressional appropriators since the ACA was signed into law.
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H.R. 6: The 21st Century Cures Act

H.R. 6: The 21st Century Cures Act

Date: July 8, 2015
Creator: Johnson, Judith A.; Thaul, Susan & Bagalman, Erin
Description: Report about H.R. 6, the 21st Century Cures Act, which would reauthorize the National Institutes of Health (NIH) through FY2018 and provide other funding to the agency through FY2020.
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Timeline Related to Health Insurance and Exchange Rules: Backdrop to King v. Burwell

Timeline Related to Health Insurance and Exchange Rules: Backdrop to King v. Burwell

Date: June 19, 2015
Creator: Fernandez, Bernadette; Mach, Annie L. & Uberoi, Namrata K.
Description: This report provides a timeline that identifies selected 2015 dates related to exchange establishment and operation, legislative calendars, and regulation of the individual health insurance market, among other issues.
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Maps of 2015 Individual Exchange Enrollment by Zip Code

Maps of 2015 Individual Exchange Enrollment by Zip Code

Date: May 21, 2015
Creator: Uberoi, Namrata K. & Uzel, James C.
Description: This report presents a tool to examine exchange enrollment information by zip code with additional geographic boundaries.
Contributing Partner: UNT Libraries Government Documents Department
An Introduction to Health Insurance: What Should a Consumer Know?

An Introduction to Health Insurance: What Should a Consumer Know?

Date: April 30, 2015
Creator: Rapaport, Carol
Description: This report provides an overview of private-sector (as opposed to government-provided) health insurance. It serves as an introduction to health insurance from the point of view of many consumers under the age of 65. No background in health insurance is assumed, and all terms are defined in the body of the report.
Contributing Partner: UNT Libraries Government Documents Department