In: Nursing
Answer: Affordable care act (ACA) is the comprehensive health care reform signed into law by president Barack Obama in March 2010.Formally known as the patient protection and Affordable Care Act- and simply Obamacare-the law includes a list of health-related provisions intended to extend health-insurance coverage to millions of uninsured Americans.
Repealing and Replacing the ACA:
The legislative efforts to repeal and replace the ACA- including or especially a potential rollback of the Acts Medical expansion-carry special risk for men,women and families struggling with addiction and mental health disorders.
Key facts about mental health and addiction coverage access: Medical expansion increases access to treatment.Approximately 29% of persons who receive health insurance coverage through the Medicaid expansion either have mental disorders (eg.schizophrenia,bipolar disorder,clinical depression,anxiety) or a substance use disorder(e.g alcoholism,opioid addiction) or both
Changes should be made to the ACA: “Specifically,the 400% federal poverty level premium tax credit eligibility cap should be eliminated, and the amount of premium tax credits for all income levels should be enhanced” Stabilzing the insurance marketplace.
Policy Implications: Implementation through regulation affects the future of Essential health benefits (EHBs).First is the fragmenting Republican health policy agenda highlighted during the AHCA debate.Congress,facing the complexity and risk of public harm that come with repeal,may remain hesitant about a full ACA repeal,sparing the EHBs At the same time,the Trump administration continues to act to centralize power in the presidency,and unify the republican agenda,standing by a full ACA repeal and replace. Secondly,States are increasingly resistant to repeal efforts.Regardless of federal action,many states have outlined plans to uphold major ACA components,including the health care exchange,individual mandate,and Medical expansion.