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Health care reform in the United States has a long history.

Reforms have often been proposed but have rarely been accomplished.

In 2010, landmark reform was passed through two federal statutes enacted in 2010: the Patient Protection and Affordable Care Act (PPACA), signed March 23, 2010, Here is a summary of reform achievements at the national level in the United States.

For failed efforts, state-based efforts, native tribes services and more details generally, see the main article History of health care reform in the United States.

The fiscal and human impact of these issues have motivated reform proposals. Further, an estimated 77 million Baby Boomers are reaching retirement age, which combined with significant annual increases in healthcare costs per person will place enormous budgetary strain on U. state and federal governments, particularly through Medicare and Medicaid spending (Medicaid provides long-term care for the elderly poor).

Health insurers that sell plans on the federal marketplace put pressure on the CMS to scale back some of the policies in the draft version of the regulations.a proposed regulation entitled “Nondiscrimination in Health Programs and Activities,” interpreting and implementing section 1557 of the Affordable Care Act (ACA or Obamacare).[1] The text of section 1557 references existing statues prohibiting discrimination on the basis of race, color, national origin, sex, age, or disability, and applies them to federally funded health programs, including the ACA’s subsidies for coverage purchased through health insurance exchanges.[2] Section 1557 reads: [A]n individual shall not, on the ground prohibited under title VI of the Civil Rights Act of 1964, title IX of the Education Amendments of 1972, the Age Discrimination Act of 1975, or section 794 of title 29, be excluded from participation in, be denied the benefits of, or be subjected to discrimination under, any health program or activity, any part of which is receiving Federal financial assistance, including credits, subsidies, or contracts of insurance, or under any program or activity that is administered by an Executive Agency or any entity established under this title.[3] On its face, section 1557 prohibits discriminatory actions that prevent an individual participating in, or receiving public assistance for, federally funded health care coverage for which the individual otherwise qualifies.However, in the proposed regulation the Obama Administration further expansively interprets that already broad, statutory text to also apply those prohibitions to the benefits covered by health insurance plans, the treatments provided by medical professionals, and the health insurance coverage of tens of millions of Americans enrolled in private, unsubsidized plans.It does, however, include some victories for transparency advocates.The federal government, for example, will now have to publish all changes to premium rates, not just increases that are subject to review.In a major win for the industry, health insurers will not be forced to have minimum quantitative standards when designing their networks of hospitals and doctors for 2017, nor will they have to offer standardized options for health plans.The CMS released a sweeping final rule (PDF) Monday afternoon that solidifies the Affordable Care Act's coverage policies for 2017.Such entities include a hospital, health clinic, group health plan, health insurance issuer, physician’s practice, community health center, nursing facility, residential or community-based treatment facility, or other similar entity.A health program or activity also includes all of the operations of a State Medicaid program.[6] all tax credits under Title I of the ACA, as well as payments, subsidies, or other funds extended by the Department to any entity providing health insurance coverage for payment to or on behalf of an individual obtaining health insurance coverage from that entity or extended by the Department directly to such individual for payment to any entity providing health insurance coverage.[7] Furthermore, HHS makes clear its intention to apply this regulation to all of a health insurer’s business if any of the insurer’s customers receive a federal coverage subsidy.Often referred to as the “employer mandate,” the employer shared responsibility payment works similarly to the individual version.If you employ a certain number of full-time equivalent workers, then you must offer affordable health insurance to those workers.

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