The American Rescue Plan (ARP) includes two key provisions that expand and increase premium tax credit benefits for Marketplace consumers, improving affordability of coverage for millions. Under current law, these provisions will sunset in 2023 if they are not extended, resulting in higher out-of-pocket costs for enrollees and an increase in the number of uninsured.
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Projected Coverage and Subsidy Impacts If the American Rescue Plan’s Marketplace Provisions Sunset in 2023
ASPE Issue Brief
Health Coverage for Women Under the Affordable Care Act
This brief provides an overview of the important role the Affordable Care Act (ACA) has had on increasing access to comprehensive coverage among women. Over 10 million adult women (19-64) gained coverage between 2010 and 2019, as did over 7 million women of reproductive age (15-44). Despite the ACA’s coverage gains, approximately 7.9 million women of reproductive age remain uninsured.
Research Summary
The Affordable Care Act and Its Accomplishments
The Affordable Care Act (ACA) was signed into law on March 23, 2010. Since then, the law has led to an historic expansion of health insurance coverage across all states and all demographic groups within the U.S. This Briefing Book features key findings from two dozen reports published in 2021-2022.
ASPE Issue Brief
Health Insurance Coverage and Access to Care Among Black Americans: Recent Trends and Key Challenges
This issue brief analyzes changes in health insurance coverage and examines trends in access to care among Black Americans using data from 2011-2020. This Issue Brief is part of a series of ASPE reports examining the change in coverage rates and access to care after implementation of the Affordable Care Act (ACA) among different racial and ethnic populations.
ASPE Data Point
Health Coverage Changes From 2020-2021
The National Health Interview Survey (NHIS) provides annual and quarterly data on health insurance coverage by insurance type, age, and income.
ASPE Issue Brief
Health Insurance Deductibles Among HealthCare.gov Enrollees, 2017-2021
The Affordable Care Act provides premium subsidies for Marketplace eligible individuals to improve health insurance affordability, as well as cost-sharing reductions (CSRs) for many enrollees that limit out-of-pocket spending such as deductibles.
ASPE Issue Brief
Access to Preventive Services without Cost-Sharing: Evidence from the Affordable Care Act
This Issue Brief summarizes the ACA's preventive services provisions for private health coverage, Medicare, and Medicaid; provides updated estimates of the number of people benefiting from these provisions nationally; and examines evidence on trends in utilization of preventive services and outcomes since the ACA's preventive services coverage requirements went into effect.
ASPE Issue Brief
Health Insurance Coverage and Access to Care for Immigrants: Key Challenges and Policy Options
This report provides an overview of the characteristics of the immigrant population in the United States, their health status and barriers to care, recent trends in health insurance coverage, their access to Federal health programs, and how they have been affected by the Covid-19 pandemic. It also offers possible policy approaches to improve health care equity for this diverse population.
ASPE Issue Brief
Medicaid After Pregnancy: State-Level Implications of Extending Postpartum Coverage
The postpartum period is increasingly recognized as a target for policy intervention to improve maternal health. The American Rescue Plan Act included an option for states to offer 12 months of postpartum Medicaid eligibility, a significant extension from the current requirement of 60 days.
ASPE Issue Brief
Evidence on Surprise Billing: Protecting Consumers with the No Surprises Act
On January 1, 2022, the surprise billing provisions of the Consolidated Appropriations Act, 2021 - commonly referred to as the No Surprises Act - go into effect. Surprise billing occurs when a privately insured individual receives an unexpected bill either in an emergency situation or when a service in an in-network facility is provided by an out-of-network provider.