ACA Exam UPDATED ACTUAL
QUESTIONS AND CORRECT ANSWERS
What is it actually called and when was it passed? - CORRECT ANSWER • Patient Protection
and Affordable Care Act, signed March 23, 2010
What is the main government website about the ACA and HC? - CORRECT ANSWER
healthcare.gov
What were some of the factors that lead to its passage and what threatened its passage? - CORRECT
ANSWER The large amount of uninsured, the rising cost of HC
Threatened by political opposition, stigma of socialized healthcare
What main problem was it trying to solve? - CORRECT ANSWER • Uninsurance - how to get
access to affordable insurance for the uninsured
Which of uninsured did it target? - CORRECT ANSWER • The sick, low-wage/under-
employed/part-time workers, small business owners and employees, self-employed, young adults,
retirees <65
What is the individual mandate and how do you get exempt? - CORRECT ANSWER • US
citizens and legal aliens required to have insurance
• Exemptions: financial hardship, religious, those for whom the lowest cost option exceeds 8% of an
individual's income, undocumented
How is the mandate enforced and what is the penalty for not having insurance? - CORRECT
ANSWER • Those without coverage pay tax penalty of $695-$2,085 up to 2.5% of taxable
income
How does the ACA expand access to insurance for the uninsured? - CORRECT ANSWER •
People can be entitled to insurance subsidies - can be eligible for Medicaid, can get premium tax
credits to shop with, and some people get cost sharing subsidies
• Limits out-of-pocket costs for everyone up to 400% of FPL to $5,950
, How does the Medicaid expansion work? Who qualifies? - CORRECT ANSWER • Individuals
up to 133% of FPL (only if state accepts expansion)
What's an Exchange? How do they work? - CORRECT ANSWER • An exchange is a health
insurance marketplace set up to facilitate the purchase of health insurance
• The insurance companies that are allowed to participate are predetermined and regulated - promotes
transparency and accountability, facilitates enrollment and delivery of subsidies
What are the two mechanisms the ACA supports to help people afford insurance purchased through
the Exchanges? How do people qualify for these? - CORRECT ANSWER • People between
144% and 400% of FPL get premium tax credits to shop with
• Individuals up to 250% of FPL get cost-sharing subsidies
• Qualified through income eligibility
Roughly what is the limit on out of pocket costs for those qualifying for premiums in the exchange? -
CORRECT ANSWER • $5,950 for everyone up to 400% of FPL
What is King v. Burwell about? What impact will the ruling have? - CORRECT ANSWER •
King v. Burwell challenges the subsidies in the federal exchange since the language of the ACA only
spoke to premium subsidies in state exchanges
• Could also undermine insurance mandates in federal-exchange states
• 13.4 million people could lose subsidies and by a product, insurance
How does the ACA encourage employers to offer affordable insurance to their employees? -
CORRECT ANSWER • Employers have to pay a penalty if they don't offer it or it is not
affordable
What is the obligation of employers with fewer than 50 employees to provide insurance (and for those
with 100 or more this year, 50 or more next year)? - CORRECT ANSWER • >50 employees:
no mandate
• +50 employees: offer coverage to 70% (95% in 2016) of full-time employees and dependent
children
• for 50+, need to provide affordable insurance or pay penalty
QUESTIONS AND CORRECT ANSWERS
What is it actually called and when was it passed? - CORRECT ANSWER • Patient Protection
and Affordable Care Act, signed March 23, 2010
What is the main government website about the ACA and HC? - CORRECT ANSWER
healthcare.gov
What were some of the factors that lead to its passage and what threatened its passage? - CORRECT
ANSWER The large amount of uninsured, the rising cost of HC
Threatened by political opposition, stigma of socialized healthcare
What main problem was it trying to solve? - CORRECT ANSWER • Uninsurance - how to get
access to affordable insurance for the uninsured
Which of uninsured did it target? - CORRECT ANSWER • The sick, low-wage/under-
employed/part-time workers, small business owners and employees, self-employed, young adults,
retirees <65
What is the individual mandate and how do you get exempt? - CORRECT ANSWER • US
citizens and legal aliens required to have insurance
• Exemptions: financial hardship, religious, those for whom the lowest cost option exceeds 8% of an
individual's income, undocumented
How is the mandate enforced and what is the penalty for not having insurance? - CORRECT
ANSWER • Those without coverage pay tax penalty of $695-$2,085 up to 2.5% of taxable
income
How does the ACA expand access to insurance for the uninsured? - CORRECT ANSWER •
People can be entitled to insurance subsidies - can be eligible for Medicaid, can get premium tax
credits to shop with, and some people get cost sharing subsidies
• Limits out-of-pocket costs for everyone up to 400% of FPL to $5,950
, How does the Medicaid expansion work? Who qualifies? - CORRECT ANSWER • Individuals
up to 133% of FPL (only if state accepts expansion)
What's an Exchange? How do they work? - CORRECT ANSWER • An exchange is a health
insurance marketplace set up to facilitate the purchase of health insurance
• The insurance companies that are allowed to participate are predetermined and regulated - promotes
transparency and accountability, facilitates enrollment and delivery of subsidies
What are the two mechanisms the ACA supports to help people afford insurance purchased through
the Exchanges? How do people qualify for these? - CORRECT ANSWER • People between
144% and 400% of FPL get premium tax credits to shop with
• Individuals up to 250% of FPL get cost-sharing subsidies
• Qualified through income eligibility
Roughly what is the limit on out of pocket costs for those qualifying for premiums in the exchange? -
CORRECT ANSWER • $5,950 for everyone up to 400% of FPL
What is King v. Burwell about? What impact will the ruling have? - CORRECT ANSWER •
King v. Burwell challenges the subsidies in the federal exchange since the language of the ACA only
spoke to premium subsidies in state exchanges
• Could also undermine insurance mandates in federal-exchange states
• 13.4 million people could lose subsidies and by a product, insurance
How does the ACA encourage employers to offer affordable insurance to their employees? -
CORRECT ANSWER • Employers have to pay a penalty if they don't offer it or it is not
affordable
What is the obligation of employers with fewer than 50 employees to provide insurance (and for those
with 100 or more this year, 50 or more next year)? - CORRECT ANSWER • >50 employees:
no mandate
• +50 employees: offer coverage to 70% (95% in 2016) of full-time employees and dependent
children
• for 50+, need to provide affordable insurance or pay penalty
