Affordable Care Act

Kaiser Family Foundation

In every state on Oct. 1, health insurance exchanges under the Affordable Care Act will begin enrolling customers for plans that take effect January 1, 2014.

The Affordable Care Act requires nearly every American to have health insurance or pay a penalty, beginning Jan. 1. The so-called "individual mandate" has been controversial ever since the law was passed.

But for people who fall into a few select categories, the mandate doesn't apply. Like Native Americans who get health coverage through the Indian Health Service, or people who are incarcerated.


Last month the Obama Administration pushed back the employee mandate under the Affordable Care Act by one year. Employers with 50 or more full-time workers now have until 2015 to either provide their workers with health insurance or face a penalty.

In states that are expanding Medicaid as part of the the new health law’s roll-out, businesses have more flexibility in deciding how to make sure their workers are covered. And though Louisiana is not participating, proponents of expanding Medicaid in the state see the delay of the employer mandate as a chance to rally some small business support.

It hasn't been a good week for the Affordable Care Act. After announcements by the administration of several delays of key portions of the law, Republicans returned to Capitol Hill and began piling on.

The biggest changes in health insurance coverage under the Affordable Care Act are set to begin less than three months from now. Oct. 1 is when people can start signing up for coverage in new state health exchanges. The policies would kick in on Jan. 1, 2014.

It can all be a little confusing, we agree. So two weeks ago, we asked what you wanted to know about the health law.

Uninsured Americans who are hoping the new health insurance law will give them access to weight loss treatments are likely to be disappointed.

That's especially the case in the Deep South, where obesity rates are among the highest in the nation, and states will not require health plans sold on the new online insurance marketplaces to cover medical weight loss treatments like prescription drugs and bariatric surgery.

A Medicaid Expansion plan passed the Senate Committee on Health and Welfare Tuesday in a 4, 3 vote.


Opponents of the expansion repeated the arguments they’ve given throughout the debate: federal funding is unreliable, and the plan will cost the state too much money. 

While politicians continue to wrangle over the roll-out of the federal Affordable Care Act, families and individuals are grappling with what it means for them.


The Legislative Fiscal Office estimates Louisiana could save up to $554.9 million over five years and between $185.2 million to almost $511 million over 10 years by expanding Medicaid under the Affordable Care Act.

The legislature is already taking up Governor Bobby Jindal’s charge to move a bill to phase out the income tax, just a day after the governor ditched his own plan for repeal.

In his speech to lawmakers Monday, Jindal didn't mention maintaining his requirement that any new tax changes be revenue neutral.