Affordable Care Act and Medicaid Resources

Throughout the nation, efforts to enroll eligible individuals in health insurance are moving forward. The Patient Protection and Affordable Care Act allows all Americans the opportunity to shop for quality health coverage that is affordable, and not be denied or charged more because they have a pre–existing condition.

The Health Insurance Marketplace is a new, simpler way for uninsured Americans and their families to purchase health insurance in one place. Coverage offered through the Marketplace includes a range of options so consumers can pick a plan that best meets their needs, the needs of their family, and their budget. While Open Enrollment for 2016 coverage is over, individuals can see if they can still get coverage - one can still enroll if they have a life change that gives them a Special Enrollment Period. They can find out if they qualify for Special Enrollment here.

Additionally, millions are eligible for Medicaid and the Children's Health Insurance Program (CHIP) – in many states, more people than ever before – and still need to be connected to the vital health benefits these programs provide. Medicaid and CHIP enrollment is year–round and is not subject to an open enrollment period. Eligible individuals can enroll at any time and get coverage right away.

The U.S. Preventive Services Task Force (USPSTF) is mandated by Congress to conduct rigorous reviews of scientific evidence to create evidence–based recommendations for preventive services that may be provided in the primary care setting. The work of the USPSTF is recognized by the Patient Protection and Affordable Care Act. Under the law, preventive services with a Task Force grade of A or B must be covered without cost–sharing (e.g., copayment or deductible) under new health insurance plans or policies.

Find more information at the following websites:

  • Health Insurance Marketplace – if you're a professional learning about the Marketplace, get the latest resources here
  • HealthCare.gov – the official consumer site for the Marketplace to learn about and buy health insurance through the Marketplace
  • Medicaid.gov– one-stop-shop for Federal policy and program information about Medicaid, the Children's Health Insurance Program and the Basic Health Program
  • Centers for Medicare & Medicaid Services – website for the Center for Consumer Information and Insurance Oversight (CCIIO); the federal center charged with helping implement many reforms of the Affordable Care Act
  • U.S. Preventive Services Task Force – U.S. Preventive Services Task Force (USPSTF) website

Sources:
Agency for Healthcare Research and Quality. Guide to Clinical Preventive Services: 2014.

Centers for Medicare & Medicaid Services. Medicaid Moving Forward.

Healthcare.gov.

HHS.gov. News.

U.S. Preventive Services Task Force.

Page last reviewed June 2015
Page originally created April 2015
Internet Citation: Affordable Care Act and Medicaid Resources. Content last reviewed June 2015. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/prevention-chronic-care/healthier-pregnancy/acaresources/index.html