Health Reform
KeY Issues
Premium Savings for Medicare Part D Enrollees from Drug Price Negotiation Would Range from 9% in 2023 to 15% in 2029
Proposals to allow the federal government to negotiate prescription drug prices, such as H.R. 3, the Elijah E. Cummings Lower Drug Costs Now Act, aim to lower out-of-pocket drug costs for Medicare beneficiaries and private plan enrollees and achieve savings for Medicare. Our analysis finds that allowing Medicare to negotiate prescription drug prices could lower premiums for Part D enrollees by an estimated $39 annually in 2023, increasing to $85 in 2029. That translates to savings of 9 percent of the projected premium in 2023 and 15 percent in 2029.
- Explainer
If ACA is Struck Down, Nearly All Americans Would Be Affected
In 2018, a judge ruled the ACA individual mandate is unconstitutional and that the entire law should be struck down. Here’s the potential impact if the entire law was held to be invalid. - courts
Explaining Texas v. U.S.: A Guide to the Case Challenging the ACA
This issue brief answers key questions about Texas v. United States. The litigation challenges the Affordable Care Act’s minimum essential coverage provision (known as the individual mandate) and raises questions about whether the law can survive. - Marketplaces
A Closer Look at the Uninsured Marketplace Eligible Population Following the American Rescue Plan Act
This analysis examine key demographic characteristics of the uninsured population eligible for subsidies to buy Marketplace coverage following the American Rescue Plan.
- Coverage Gap
Filling the Coverage Gap: Policy Options and Considerations
We explore several potential policy options that would help close the Affordable Care Act’s “coverage gap,” including providing further new incentives for states to expand Medicaid, creating a new “public option” or extending ACA Marketplace premium subsidies to low-income people who don’t currently qualify for federal help. - NonDiscrimination
Recent and Anticipated Actions to Reverse Trump Administration Section 1557 Non-Discrimination Rules
What’s the latest in the legal and regulatory wrangling over Section 1557 of the Affordable Care Act, which protects LGBTQ people and others from discrimination in health programs? We summarize current developments and identify issues to watch.
- FAQs
Health Insurance Marketplace and the ACA
Find answers to over 300 frequently asked questions about buying coverage on the health insurance marketplaces. Over 180 of our FAQs are now available in Spanish. - interactive
Estimate 2021 Consumer Premiums for ACA Marketplace
With this calculator, you can enter your income, age, and family size to estimate your eligibility for subsidies and how much you could spend on health insurance. - Health Reform
Explaining Health Care Reform: Questions About Health Insurance Subsidies
This brief provides an overview of the financial assistance provided under the ACA for people purchasing coverage on their own through health insurance Marketplaces (also called Exchanges).
Health Reform Polling
Latest Polling70%
say it’s “very important” that the ACA provision barring insurers from denying coverage based on pre-existing conditions remain in effect. (April 2019)
51%
say they support a Medicare-for-all plan that would cover all Americans. (July 2019)
55%
of Democrats and Democratic-leaning independents say they prefer building on the ACA to replacing it with a national Medicare-for-all plan. (July 2019)
65%
favor having a government-administered health plan that would compete with private health insurance plans and be available to all Americans. (July 2019)
