Search Penny Hill Press

Wednesday, October 6, 2010

Individual Mandate and Related Information Requirements under PPACA


Hinda Chaikind
Specialist in Health Care Financing

This report describes the individual mandate under §1501 and §10106 of the Patient Protection and Affordable Care Act (PPACA, P.L. 111-148), as amended by §1002 of the Health Care and Education Reconciliation Act of 2010 (P.L. 111-152). Hereafter, “PPACA” will refer to PPACA as amended by the reconciliation act and other laws. In addition, PPACA includes several reporting requirements designed, in part, to assist individuals in providing evidence of having met the mandate, as well as other related information about their health insurance. These requirements are also described in this report.

Beginning in 2014, PPACA requires individuals to maintain health insurance, with some exceptions. Most individuals will be required to maintain minimum essential coverage, which includes eligible employer coverage, individual coverage, grandfathered plans, and federal programs such as Medicare and Medicaid, among others. Those who do not maintain minimum essential coverage, and who are not exempt from the mandate, will be required to pay a penalty for noncompliance.



Date of Report: September 21, 2010
Number of Pages: 16
Order Number: R41331
Price: $29.95

Follow us on TWITTER at
http://www.twitter.com/alertsPHP or #CRSreports

Document available via e-mail as a pdf file or in paper form.
To order, e-mail
Penny Hill Press  or call us at 301-253-0881. Provide a Visa, MasterCard, American Express, or Discover card number, expiration date, and name on the card. Indicate whether you want e-mail or postal delivery. Phone orders are preferred and receive priority processing.