The Patient Protection and Affordable Care Act

Passed in 2010, there are effects for individuals, businesses, and medicare
Implements an individual mandate which requires most U.S. citizens and legal
residents to have health insurance.
Those without coverage pay a tax penalty of the
greater of $695 per year up to a maximum of three times that amount ($2,085) per
family or 2.5% of household income. The penalty will be phased-in according to the
following schedule: $95 in 2014, $325 in 2015, and $695 in 2016 for the flat fee or 1.0%
of taxable income in 2014, 2.0% of taxable income in 2015, and 2.5% of taxable income
in 2016. Beginning after 2016, the penalty will be increased annually by the cost-of-living
adjustment. Exemptions will be granted for financial hardship, religious objections,
American Indians, those without coverage for less than three months, undocumented
immigrants, incarcerated individuals, those for whom the lowest cost plan option
exceeds 8% of an individuals income, and those with incomes below the tax filing
threshold (in 2009 the threshold for taxpayers under age 65 was $9,350 for singles and
$18,700 for couples).
Assess employers with 50 or more full-time employees that do not offer coverage and
have at least one full-time employee who receives a premium tax credit a fee of $2,000
per full-time employee, excluding the first 30 employees from the assessment. Employers
with 50 or more full-time employees that offer coverage but have at least one full-time
employee receiving a premium tax credit, will pay the lesser of $3,000 for each employee
receiving a premium credit or $2,000 for each full-time employee, excluding the first 30
employees from the assessment. (Effective January 1, 2014)
Exempt employers with up to 50 full-time employees from any of the above penalties.
Provide small employers with no more than 25 employees and average annual wages of
less than $50,000 that purchase health insurance for employees with a tax credit. Those
who have 200 or more employees must automatically enroll all employees in health
insurance, though they can opt out.
Creates state-based American Health Benefit Exchanges through which
individuals can purchase coverage, with premium and cost-sharing credits
available to individuals/families with income between 133-400% of the federal
poverty level (the poverty level is $19,530 for a family of three in 2013)
Creates separate Exchanges through which small businesses can purchase
coverage
Requires employers to pay penalties for employees who receive tax credits for
health insurance through an Exchange, with exceptions for small employers.
Imposes new regulations on health plans in the Exchanges and in the individual
and small group markets.
Expands Medicaid to 133% of the federal poverty level.
Funded through a number of taxes and fees, such as fees on the pharmaceutical
manufacturing sector, health insurance