The below blog post is take from the PBPC report, “Devastation, Death, and Deficits: The Impact of ACA Repeal on Pennsylvania.”
The first, and most important, aim of the Affordable Care Act was to reduce the number of uninsured Americans by means of two different policies. Americans with incomes too high to receive Medicaid but at or below 138% of the federal poverty line ($16,242 for a single individual and $33,465 for a family of four) can receive health insurance if their state expands Medicaid. Americans with incomes above 138% of the federal poverty line can purchase health insurance on a state or federally-run health care exchange, also known as a health care marketplace. Individuals and families with incomes up to 400% of the federal poverty line ($47,520 for a single individual and $97,200 for a family of four) are eligible to receive tax credits that reduce the costs of insurance purchased on the exchange. Those with lower incomes in this range are also eligible to receive cost-sharing reductions that limit their out of pocket health care costs.