Business Finance
Patient Care Affordable Act

Question Description

The Patient Protection and Affordable Care Act (PPACA) requires that U.S. citizens and legal residents obtain qualifying health coverage. Write a report of 4-5 pages that explores the individual mandate section of this health reform law and how current legislation impacts this. Complete the following:

  • Explain the individual mandate included in the PPACA including the tax penalties imposed if a person or family had not obtained qualifying health coverage.
  • How has mandated health insurance coverage under PPACA worked? What impacted its success? If you were required to make one policy change or enhancement to ensure success of an individual mandate such as included in the PPACA, what would you recommend?
  • Assess the historical relationship between the cost of health care and outcomes in the United States with the cost of health care and outcomes in another country. What policies could be considered to assist in changing the relationship between costs and outcomes to a more efficient relationship in the United States, if at all?

Note: Your report should use APA formatting, and you must include 4 references, 2 of which are peer-reviewed sources from health care journals and published within the last 5 years.


United States Census Bureau. (n.d.). Retrieved from

Final Answer

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The Individual Mandate of the PPACA
The individual mandate in the PPACA was a requirement by the US government that
every American should acquire a health insurance policy or else pay the penalty as from 2014.
Indeed this was the first time in history that the American government required individuals to
access healthcare coverage or face taxation for not being covered. Only a small group of
Americans would be insulated from the mandate such as Indian Americans who have their
healthcare services and undocumented immigrants and individuals without health coverage for a
period not exceeding three months. Also immune to the Act are individuals who have been
incarcerated as well as individuals whose costs plans surpassed 8% of their incomes and
individuals with incomes below the tax threshold.
The individual mandate tax penalties started in 2014 and increases in the preceding years
where each year, as the income levels change, the taxes are levied corresponding to the
household income. The tax penalties were supposed to be phased out within three years. The
taxpayers are penalized for lacking insurance coverage for themselves as well as their
dependents (Frean, Gruber and Sommers, 2016). The law sets the penalty amount and then
calculates the amount of the penalty you are supposed to pay based on the months that the
individual has not been covere...

Knutsen (19880)
Rice University

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