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2022 Neb. L. Rev. Bulletin 1 (2022)
The Affordable Care Act: Moral Hazard, Adverse Selection, Challenges, Alternative Proposals, and Amendments in Health Insurance Law

handle is hein.journals/nelrvbu2022 and id is 134 raw text is: 




    The Affordable  Care  Act: Moral  Hazard, Adverse  Selection, Challenges, Alternative
                   Proposals, and  Amendments in   Health  Insurance  Law

                                         Paige Ross'

       The   Patient Protection  and  Affordable  Care  Act  (ACA),   or Obamacare, is a

comprehensive   health care reform law passed in March  2010  with three primary goals: make

affordable health insurance available to more people, expand the Medicaid program to cover all

adults with income below 138%  of the FPL (federal poverty level), and support innovative medical

care delivery methods designed to lower the costs of health care generally.2


       The  ACA  works  to protect people in numerous ways including: requiring insurance plans

to cover people with pre-existing health conditions (including pregnancy) without charging more,

providing free preventive care, giving young adults more coverage options, ending lifetime and

yearly dollar limits on  coverage  of essential health benefits, holding insurance companies

accountable for rate increases, and making it illegal for health insurance companies to cancel your

health insurance just because you become  sick.3 The law also allocates additional benefits and

rights to mental health and substance abuse services as well as the right to appeal a health plan

decision.4


       The  ACA  also instituted several policies to stabilize premiums and encourage enrollment

among  healthy individuals including such things as tax credits and cost-sharing subsidies for those

who  would  otherwise remain  uninsured.5 The design of the law's premium   tax credits makes




1 J.D. Candidate, 2022, University of Nebraska College of Law.
2 Affordable Care Act (A CA) https://www.healthcare.gov/glossary/affordable-care-act/.
3 Health Coverage Rights and Protections https://www.healthcare.gov/health-care-law-protections/.
n Id.
s Christine Ebner & Evan Saltzman, Assessing Alternative Modifications to the Affordable Care Act: Impact on
Individual Market Premiums and Insurance Coverage, RAND HEALTH QUARTERLY (2015)
https://www.rand.org/pubs/periodicals/health-quarterly/issues/v4/n4/04.html.

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