The Patient Protection and Affordable Care Act (“Healthcare Reform”) is a complex law that has multiple components. At the end of the day the subparts are integrated and similar to a line of dominos. One part of the law will impact others. When one domino is removed or fails to fall correctly, the entire law is in jeopardy.
Today, there are two components of the law that are being implemented and having vastly different results. First, Healthcare Reform is focused upon expanding insurance coverage to millions of individuals to reduce the number of uninsured. However, one domino that is a key foundational component of expanding insurance coverage was pulled by the Supreme Court. When the Supreme Court determined that the Medicaid expansion language within the Healthcare Reform Act was unconstitutional, the states were granted discretion to either expand Medicaid eligibility benefits to individuals, who had an annual income of 133% of the federal poverty level or less,