Review your lectures. Then:

Identify, how many Americans remain uninsured despite the PPACA (Patient Protection and Affordable Care Act), using the most current scholarly resource available.

Identify how many Americans are currently signed up for and have paid premium for the PPACA.

Discuss the current cost to Americans in subsidies, which are financially supporting the PPACA. What is the current fine charged by the IRS to those without insurance and how much will it increase in 2016? Will this fine increase have a negative or positive impact? Explain why.


 Review the following articles 

Lurie, I. Z., & McCubbin, J. (2016). What can tax data tell us about the uninsured? evidence from 2014. National Tax Journal, 69(4), 883-904. 

 Impact of obamacare on coverage: Reduction in the number of uninsured. (2016). Congressional Digest, 95(3), 7.

Jost, T. S., & Pollack, H. A. (2016). Making health care truly affordable after health care reform. The Journal of Law, Medicine & Ethics, 44(4), 546-554. doi:10.1177/1073110516684785

To support your work, use your course and textbook readings 

As in all assignments, cite your sources in your work and provide references for the citations in APA format.

 Your initial posting should be addressed at 300-500 words.

7Congressional Digest ■■■■■ ■■■■■ March 2016

From the U.S. Department of Health and Human Services, Office of the Assistant Secretary for Planning and Evaluation Data Point report Health Insurance Coverage and the Af- fordable Care Act, September 22, 2015.

Impact of Obamacare on Coverage Reduction in the Number of Uninsured

In March 2015, the U.S. Department of Health andHuman Services Office of the Assistant Secretary for Plan- ning and Evaluation (ASPE) estimated that 16.5 million uninsured people had gained health insurance coverage as several of the Affordable Care Act’s (ACA) coverage provi- sions took effect. Using updated data, ASPE now estimates that 17.6 million uninsured people have gained health in- surance coverage.

Coverage gains refer to different sources of coverage, including Medicaid, the Health Insurance Marketplace, and individual market coverage; therefore, gains are not limited to Marketplace-eligible individuals.

● 15.3 million adults gained health insurance coverage since the beginning of open enrollment in October 2013 through September 12, 2015. Over that period, the uninsured rate declined from 20.3 percent to 12.6 percent — a 38 percent (or 7.7 percentage point) re- duction in the uninsured rate.

● 2.3 million additional young adults (aged 19 to 25) gained health insurance coverage between the enact- ment of the Affordable Care Act in 2010 and the start of open enrollment in October 2013 due to the ACA provision allowing young adults to remain on a parent’s plan until age 26.

■ Uninsured Rates by Race and Ethnicity

The uninsured rate declined across all race/ethnicity categories since the baseline period. There were greater declines in the uninsured rate among African Americans and Hispanics than among whites.

● Among whites, the uninsured rate declined by 6.0 per- centage points, from a baseline uninsured rate of 14.3

percent to 8.3 percent, resulting in 7.4 million adults gaining coverage.

● Among African Americans, the uninsured rate declined by 10.3 percentage points, from a baseline uninsured rate of 22.4 percent to 12.1 percent, resulting in 2.6 million adults gaining coverage.

● Among Hispanics, the uninsured rate declined by 11.5 percentage points, from a baseline uninsured rate of 41.8 percent to 30.3 percent, resulting in about 4.0 percent of adults gaining coverage.

■ Uninsured Rates by State Medicaid Expansion Status

Health insurance coverage gains continued to be especially strong in Medicaid expansion States.

● Expansion States experienced a decline in their unin- sured rate of 8.1 percentage points, from an average baseline of 18.2 percent to 10.1 percent.

● Non-expansion States experienced a decline in their un- insured rate of 7.3 percentage points, from an average baseline rate of 23.4 percent to 16.1 percent.

■ Uninsured Rates for Young Adults

Coverage gains for young adults aged 19 to 25 started in 2010 with the ACA’s provision enabling them to stay on their parents’ plans until age 26. From the baseline period through the start of open enrollment in October 2013, the uninsured rate for young adults declined from 34.1 percent to 26.7 percent, which translates to 2.3 million young adults gaining coverage.

● Since October 2013, an additional 3.2 million young adults aged 19 to 25 gained coverage.

Continued on page 32

32 Congressional Digest ■■■■■ ■■■■■ March 2016

Impact of Obamacare on Coverage Continued from page 7

s● In total, an estimated 5.5 million young adults gained coverage from 2010 through September 12, 2015, which is statistically unchanged from March 4, 2015.

■ Uninsured Rates by Gender

The uninsured rate declined for both males and females since the baseline period. There was a greater decline in the uninsured rate among females than among males.

● Males experienced a decline in their uninsured rate of 7.3 percentage points, from an average baseline rate of 21.8 percent to 14.5 percent, resulting in 7.3 million adult males gaining coverage.

● Females experienced a decline in their uninsured rate of 8.1 percentage points, from an average baseline rate of 18.9 percent to 10.8 percent, resulting in nearly 8.2 million adult women gaining coverage.

of fairer rules and stronger consumer protections that have made health care coverage more afford- able, more attainable, and more patient centered. And it is working. About 17.6 million Americans have gained health care coverage as the law’s cover- age provisions have taken effect. The Nation’s un- insured rate now stands at its lowest level ever, and demand for Marketplace coverage during Decem- ber 2015 was at an all-time high. Health care costs are lower than expected when the law was passed, and health care quality is higher — with improve- ments in patient safety saving an estimated 87,000 lives. Health care has changed for the better, setting this country on a smarter, stronger course.

The Reconciliation Act would reverse that course. The Congressional Budget Office estimates that the legislation would increase the number of uninsured Americans by 22 million after 2017. The Council of Economic Advisers estimates that this reduction in health care coverage could mean, each year, more than 900,000 fewer people getting all their needed care, more than 1.2 million additional

people having trouble paying other bills due to higher medical costs, and potentially more than 10,000 additional deaths. This legislation would cost millions of hard-working middle-class families the security of affordable health coverage they de- serve. Reliable health care coverage would no longer be a right for everyone: it would return to being a privilege for a few.

The legislation’s implications extend far beyond those who would become uninsured. For example, about 150 million Americans with employer-based insurance would be at risk of higher premiums and lower wages. And it would cause the cost of health coverage for people buying it on their own to sky- rocket.

The Reconciliation Act would also effectively defund Planned Parenthood. Planned Parenthood uses both Federal and non-Federal funds to provide a range of important preventive care and health ser- vices, including health screenings, vaccinations, and check-ups to millions of men and women who visit their health centers annually. Longstanding Federal policy already prohibits the use of Federal funds for abortions, except in cases of rape or incest or when the life of the woman would be endangered. By eliminating Federal Medicaid funding for a major provider of health care, H.R. 3762 would limit ac- cess to health care for men, women, and families across the Nation, and would disproportionately impact low-income individuals.

Republicans in the Congress have attempted to repeal or undermine the Affordable Care Act over 50 times. Rather than refighting old political battles by once again voting to repeal basic protections that provide security for the middle class, Members of Congress should be working together to grow the economy, strengthen middle-class families, and cre- ate new jobs. Because of the harm this bill would cause to the health and financial security of millions of Americans, it has earned my veto.

Outlook. The House failed, by a vote of 241 to 186, to sustain the President’s veto. Opponents of the law have vowed to continue to work for repeal. “The idea that Obamacare is the law of the land for good is a myth,” stated Speaker of the House Paul Ryan. “This law will collapse under its own weight, or it will be repealed.”

Legislative Background Continued from page 9

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