Mutemo weObamacare: Chidimbu cheZita Zaro 10

10 Kushamisika Kuchinja Kwezvinhu Zvisingakwanisi Kutarisira Mutemo Wega

Zita rehurumende yeObamacare Bill ndeye Murwere Kudzivirira uye Affordable Care Act (Mutemo 111-148). Yakava mutemo musi waMarch 23, 2010, apo Mutungamiri Obama akaisimbisa. Vanhu vazhinji vane pfungwa inokosha yekuti chii chinonzi Obamacare . Asi kune zvakawanda zvikamu zvebhadhiro iyo isingazivikanwi. Sezvo Mutemo uyu wakanyatsoshandiswa seSocial Security Act , iyo pfungwa yakanaka yekuziva zviri mukati maro.

Mutemo une 10 mazita kana zvikamu. Iyo Munyori weHutano neHuman Services inogadzira zvinyorwa zvose kunze kweTumisi VIII neIX. Munyori weDhipatimendi reMariki anoshandisa izvo.

Chinyorwa I. Unhu, Unogadziriswa Utano Kune Vose veAmerica

Muna 2014, Chinyorwa I chaida kuti mamiriyoni 32 kusvika ku50 mamiriyoni asina kuvimbiswa vekuAmerica kutenga inshuwarisi kana kubhadhara mutero. Chirevo hachishandi kune vanobva kune dzimwe nyika vasingabvumirwi nemutemo nokuti havagoni kuwana Obamacare.

Hurumende inogadzira hutano hwehutano hwehutano hunoita kuti munhu wese aenzanise zvirongwa zvehutano. Nyika dzakagamuchira mari yezvemari yekugadzira kugoverana. Vamwe vakagamuchira kushandiswa kunoitwa nehurumende yehurumende. Kukurukurirana kunobatsirawo vanhu kuti vaone kana vachikodzera kuMedicaid kana kuti zvikwereti zvemitero. Musoro I inopa maCongress kushandisa shanduro.

Mabhizimisi ane makumi mashanu kana kupfuura vashandi vanofanira kupa inshuwarisi yehutano . Kana zvisina kudaro, vanobhadhara mitero ye $ 2,000 pamushandi kunze kwevashandi vekutanga 30.

Chero kambani ine vashandi vashoma vanosvika zana vanogona kushandisa shanduro. Makambani ane vashandi makumi maviri kana makumi maviri kana mashoma anopa inshuwarisi anogona kukodzera chikwereti chemitero ye50 muzana. Mabhizimisi anopa hutano inshuwarano kune avo vakangotanga kubhadhara makore 55-64 vanogona kunge vakakodzera rubatsiro rwehurumende.

Chinyorwa I inoda makambani einishuwarenzi kuti ipe zvinotevera zvidziviriro uye zvimwe zvipo.

• Vabereki vanogona kuwedzera vana kusvika pazera remakumi maviri nemaviri pamagariro avo.
• Makambani emishuwarenzi haagoni kukanda vanhu kana vachirwara. Havagoniwo kuisa denga pahupenyu hwehupenyu.
• Havagoni kuramba kuparidzira kune avo vane mamiriro ezvinhu akambovapo .
• Vanofanira kuvhara 100 muzana yehutano uye kuve nemimba yekuongororwa.
• Makambani anoshandisa mari inenge 80 muzana yemapurayamisi pamishonga ekurapa, kana kuti kubatsirwa kudzokera kune vashandi vemazano. Vanofanira kuisa ruramisiro yezvikwereti zvekukwirira kwekutaura kuti zvibvumirwe.

Nhepfenyuro yeOmbamacare inoudza zvakawanda pamusoro pekuti Bhuku Iro rinokubata sei.

Chitsauko II. Basa reMapurogiramu ehuruzhinji

Muna 2014, Mutemo wakaparidzira Medicaid kuparidzira kune ani zvake ane mari iri pasi pe 138 muzana ye federal poverty level . Yakabvumirawo nyika kuti dzivhare vanhu vasina mari yakawanda vasina vana. Hurumende yehurumende ichabhadhara zana kubva muzana kusvikira muna 2017, uye iyo nyika inofanira kuvhara mu 10 muzana yemari yepurogiramu shure kweizvozvo. Vashanu vati vatotora kushandisa purogiramu yekufambisa, vachiwedzera mhuri 500 000 kuMedicaid.

Mutemo unochengetedza Vana Health Health Programme. Musi waOctober 1, 2015, yakasimudza federal yakaenzana nehupfumi kusvika pa9 muzana. Yakapa $ 40 mamiriyoni muhurumende mari yekusimudzira kudyidzana kweMedicaid uye CHIP.

Chitsauko III. Kuvandudza Unhu uye Kubudirira Kwehutano Hwekuita

Mutemo unovhara chikamu muzvinyorwa zvemishonga zvinodhaka, inozivikanwa sehuni, mu Medicare Part D. Muna 2010, vakwegura vakagamuchira $ 250. Muna 2011, vakagamuchira 50 muzana kudhura pamishonga yemishonga yezvinodhaka uye 7 muzana pamishonga yemishonga. Pakazosvika 2020, inopedza gomba rekushandisa. Mutemo unopawo hutano uye kutariswa kwekuchengetedza kwevaya vari muMedare nekuda kwekusununguka.

Bhuku IV. Kudzivirirwa Kwezvirwere Zvisingaperi uye Kuvandudza Utano Hwevanhu

Mutemo wakasimbisa National Prevention, Health Promotion, uye Public Health Council. Chinangwa charo chairo ndechekuchengetedza utano hwekuchengetedza . Chiremba Mukuru weDare reGurisi anotungamirira Dare. Iyo yakagadzirwa nemisoro yevakuru 17 Federal. IThe National Prevention Strategy inoratidzira hutano hwehurumende huri munharaunda minomwe inokosha:

1. Kurarama pasina fodya.
2. Kudzivisa kushandisa zvinodhaka uye kudhakwa zvinodhaka.
3. Utano hwakanaka.
4. Kurarama kushanda.
5. Kukuvadza uye kurarama pasina chisimba.
6. Utano hunobereka uye hwepabonde.
7. Utano hwepfungwa uye hwemweya ..

Chinyorwa V. Health Care Workforce

Mutemo unobhadhara zvidzidzo uye zvikwereti kuti kuwedzere nhamba yevashandi vepamusoro, vanachiremba, vatsigiri vezvechiremba, vanopa utano hwepfungwa, uye vanachiremba vemazino. Chinangwa chayo ndechekuwedzera kaviri nhamba yevarwere vanobatwa mumakore mashanu.

Chinyorwa VI. Kuita pachena uye Program Integrity

Mutemo unoda vanachiremba kuti vataure pamusoro pekuda mari mune zvavanoita nemakambani ekufungidzira, nezvimwewo, uye kupa urongwa hwevamwe vanopa rubatsiro kune vamwe varwere. Zvinoda vhidhiyo mapaiti, makambani ezvinodhaka, nezvimwewo, kuratidza mari yakarongeka yavaine vanachiremba. Makambani anotarisira chikamu chechirongwa chemishonga cheMedare kana kuti kugoverana kwehurumende kunofanirwa kutaurira chero rubatsiro rwemari rwavanowana kubva kumakambani emishonga.

Chinyorwa VI chinopa ruzivo uye chinoda kutarisa kumashure kumusha wevanamukoti kuti kuderedza kushungurudzwa kwevakuru.

Nheyo yacho inopararira pasi pounyengeri kuburikidza nekucherechedza vanhu vane ngozi yakawanda uye kuvadzivisa kubva pakugadzirisa mune imwe nyika. Inopa huti kukwanisa kuongorora kushandiswa kwepamutemo kwepamutemo kusimbisa kuchengetedza kwevarwere, kukurudzira kugadziriswa kwekugadzirisa kukakavadzana, nekuvandudza kukwanisa kwehutano inshuwarisi.

Chinyorwa VII. Kuvandudza Kuwana Kurapa Mazano Okurapa

Mutemo unopa zvikwereti zvemishonga kune zvipatara izvo zvinoshandisa varwere vane mari shoma. Inotodawo kukwikwidzana kwemitambo yemakemikari uye mahomoni ekurapa.

Chinyorwa VIII. Community Living Assistance Services uye Supports Act

ICASS Act yakabvumira vanhu veAmerica avo kana kuti vatsoropodzwa kuti vawane $ 50 rebhadharo zuva rega rega kuti vaise kurubatsiro rwekubatsira. Vanofanira kubhadhara premium kwemakore mashanu, uye kushanda kwemakore matatu emakore iwayo. Nhamba yacho yakaenda kutarisirwa kwehutano hwemusha, kutarisirwa kwezuva revanhu vakuru, uye mamwe mabasa kuti avabvumire kugara mumisha yavo. Yakaendawo kunzvimbo dzinobatsira dzokugara , dzimba dzekuyamwisa, uye dzimba dzeboka. Izvo zvakanga zvichitsigira mari. Izvi zvingadai zvakaderedza kusakwana kwe $ 70.2 mabhiriyoni pamakore gumi. Zvingadai zvakabvumira vanhu kuti varambe vachishanda uye vasagara kunze kwemisha yevanamukoti uye kuchipatara.

Yakatanga kushanda musi waJanuary 1, 2011, asi musi waOctober 1 yakatsunga kuva isina kugadzikana. Yakanga isingagoni kukwikwidzana nemapurogiramu ega ega aipa zvipo zviri nani.

Musoro IX. Revenue Provisions

Mutemo unomutsa Medicare Taxes kusvika pa2,35 muzana pane mari inopfuura $ 200,000 kune vanhu kana $ 250,000 pamhuri. Vaizobhadharawo 3.8 muzana yemishonga yeMedare pamadhora mashoma, zvikwereti , kubhadhara, uye mari yepamusoro kana mari yepamusoro pamiganhu yakataurwa. Obamacare mitero ichabatsira kuderedza kusara kwemari ye $ 143 mabhiriyoni pamakore gumi ekutanga.

Chinyorwa X. Kudzorerwazve kweIndia Health Care Improvement Act

Nokudaro unovandudza hutano hwehutano hwemamiriyoni 1,9 eNative America. Inoshandiswa mukukurukurirana neIndia Health Service.

Verengai zvakakwana Obamacare Bill paHealthCare.gov.

Mukudzika: Ko Obamacare Anoshanda Sei? | Pros uye Cons | Chokwadi Pamusoro peBamacacare | Obamacare Anotsanangurwa | Ichokwadi Chokutengeswa Kworudzi ... Obamacare Timeline | Nei Chiremba Kuchengetedzwa Kunofanira Kuchinjwa

Kuti uwane zvakawanda pamusoro pekuti ACA yakasikwa sei, ona bhuku rangu rinonzi The Ultimate Obamacare Handbook (2015 - 2016) .