Kwenzeka ntoni emva koko?
NgoNovemba 1, 2017, ukuya kuDisemba 15, 2017 - Ukubhaliswa okuvulekileyo kwiintengiso ze- inshurensi yezempilo ngo-2018. Ukuba awunayo i-inshorensi ubuncinane kwiinyanga ezisi-9 ngo-2018, uya kuvavanywa irhafu eyongezelelweyo ye-2.5 ekhulwini yengeniso yakho.
Ukutshintshisana kwenza kube lula ukufumana i-Obamacare kumanyathelo amane alula.
Amashishini anabasebenzi abangama-50 okanye ngaphezulu aya kubhatalwa imali engama-2,000 e-employee (ngaphandle kweyokuqala 30) xa bengenayo inshuwalense yezempilo. Abo benzayo baya kufumana irhafu yerhafu ye-50 ekhulwini yeendleko ze-premium.
NgoJuni 21, 2018 - Iinkampani ze-inshorensi yezempilo kufuneka zigqibelele ukuba ngaba ziya kunika izicwangciso kwiingxoxo zango-2019. Iinkampani ziye zaphuma kwezinye iindawo ezincinci. Kukho amabakala angama-960 anesinye inkampani yomshuwalense wezempilo. Iinkampani ezininzi ziya kulahla ukuba ulawulo lweTrump aluyikunyanzelisa isigunyaziso ngasinye sokuba wonke umntu athenge i-inshorensi okanye ahlawule irhafu.
2020 - Amashishini anikezela ngokuba yi-"Cadillac" iinjongo ze-inshorensi yezempilo kufuneka ahlawule i-40 pesenti yerhafu kwi-benefit. Ezi zicwangciso zichazwe njengalezo zi-premiums ze-$ 10 200 (ngamnye) okanye i-$ 27,500 (iintsapho). Banikezela ngokukhawuleza, ngokufana neentlawulo ezincinane okanye iimeko ezingavamile, ezifana nokucebisa umtshato.
Nangona kunjalo, bahlanganisa abo abaneemfuno eziphezulu zempilo. Ngokomzekelo, ishishini linokufuneka linike iiplani zeCadillac ukuba umngcipheko wokuxhomekeka kwabasebenzi bawo mkhulu kunexesha eliqhelekileyo. Oku kwenzeka ukuba abaninzi babo bagula, baludala, bafazi okanye bahlala kwindawo eneendleko ezibiza ngezempilo. Izicwangciso zeCadillac nazo ziyafuneka kulabo basebenzi bungozi.
Imbali yeMbali
Ngomhla wama-23 Matshi 2010 - uMongameli uBrazil wasayina uMthetho ojongene noNonophelo ongenakunceda, okwenza unyango lwezempilo luguqulwe umthetho womhlaba.
NgoJuni 17, 2010 - Imimiselo yaseburhulumenteni yavumela ezinye izicwangciso zempilo ezazikho ngo-Matshi 23, 2010, ukuba "zizalwe." Oku kuthetha ukuba baxolelwe kwimimiselo yoMthetho wokuNakekelwa ongenakuncedo.
NgoJanuwari 2011 - INdlu yavotela ukuchithwa komthetho. Eyona nto yayingumqondiso kuba iNational Senate yalahla ukutshitshiswa. Kodwa iipesenti ezingama-22 zamaMerika zicinga ukuba isenzo sele sichithwe.
NgoSeptemba 2011 - ISebe lezoBulungisa licela iNkundla ePhakamileyo ukuba inqume ukuba ngaba uMthetho wezoNyango ongenakunqwenelekayo ungumgaqo-siseko. Inkundla yesibini yeeNkundla zeziBheno yafumana ukuba igunya alizange liwele ngaphakathi kweCongress 'amandla okulawula ulawulo lwentsebenziswano, kodwa ukuba yonke loo Mthetho ilungile. Eminye inkundla ezimbini zesibheno, i-Sixth Circuit kunye ne-Fourth Circuit, yalawula ukuba uMthetho wawunomgaqo-siseko.
Ngomhla wama-28 kuMatshi 2012 - iNkundla ePhakamileyo yenze iindlebe malunga nomgaqo-siseko we-Care Act. Kwimiba ingaba isigunyaziso soMthetho sokuba abantu baneshuwalense okanye bahlawule intlawulo, baphula uMthetho-siseko. Ngosuku lwesithathu, amagosa agweba ukuba uMthetho wonke unokuma ukuba le mithetho yahlulwa.
Ngosuku lweBini, abagwebi babuza ukuba urhulumente waseburhulumenteni unelungelo lokunyanzelisa abantu ukuba bathenge inshuwalense yezempilo evela kwinkampani yabucala. Ngomhla Wokuqala, abagwebi baxela ukuba banalo igunya lokuhlaziya umThetho ngeli xesha, okanye kufuneka balinde ukuba umntu ahlawule isigwebo ngo-2014.
NgoJuni 28, 2012 - iNkundla ePhakamileyo iqinisekisile ukusemthethweni koMthetho woNonophelo onoxanduva. Ngaphezulu, khangela i-Obamacare Ruling
NgoJanuwari 1, 2013 - Utshintsho lwentlawulo luye lwafakwa kulo. Kubantu ngabanye, iindleko zonyango kufuneka zibe yi-10 ekhulwini yengeniso ngaphambi kokuba zichithwe ngabantu abangaphantsi kwe-65. Abo benza imali engaphezu kwama-200,000 (i-250,000 zamaqabane) baya kuhlawula irhafu ephezulu. Oku kuquka i-3.8 yepesenti zerhafu kwiirhafu, uzuzo lwentengo, irenti kunye neerhafu kunye ne-2.35 ekhulwini (ukususela kwi-1,45 pesenti) Iirhafu zonyango kwimali engenayo.
Kwimashishini, abo bavelisa okanye bangenise izixhobo zonyango baya kuhlawula irhafu ye-2.3.
Amazwe ayazuza kwiimali ezongezelelweyo ze-Federal ukunikezela ngeenkonzo zokuzikhusela zamahhala ezifumanekayo zeMedicaid kunye nokwandisa i-CHIP kwiminyaka emibini eyongezelelweyo. Baya kufumana imali ye-Federal ukuhlawula amayeza okunyamekela okuphambili i-100 ekhulwini lemali ye-Medicare. I-Medicare iya kuqalisa inkqubo yovavanyo lokunceda izibhedlele zithengise iinkonzo ngaphambi kokuba zingenise ukuhlawula.
Oktobha 1, 2013 - Ixesha lokuqala lokubhalisa elivulekile laqala. Iingeniso zeMedicaid zandiswa kwalabo abanemali ukuya kuma-138 ekhulwini kwinqanaba lehlwempu . Abo baneemali ezifikelela kuma-400 ekhulwini lobuhlwempu bafumana inkxaso-mali . Zonke izicwangciso mazizibandakanye ezi- 10 eziyimfuneko zonyango ezifunekayo ukuba zifakwe kuluhlu.
Matshi 31, 2014 - Ixesha lokuqala lokubhalisa elivulekile livaliwe. Wonke umntu kufuneka ahlanganiswe, okanye ahlawule irhafu ye-1 pesenti yengeniso ngo-2014.
NgoJuni 25, 2015 -INkundla ePhakamileyo inqume ukuba urhulumente wephondo unelungelo lokunika inkxaso-mali kumazwe awazange amisele ukutshintshiselana kwawo. I-ACA ikhankanya ngokukodwa inkxaso-mali ifanele ibe yintsebenziswano "eyenziwe nguRhulumente," nangona ababhali bathi loo nto ayiyiyo injongo. INkundla ePhakamileyo inamathela ngenjongo, kungekhona amagama, yomthetho.
Indlela i-Obamacare eya kuba ngayo ixesha
Landela iinguqu kwaye uphindele emva kweendleko ezahlukeneyo ezicetywayo yiNdlu kunye neSeteti ngo-2009, ekupheleni kokuqala-iziphakamiso ze-campaigns zakuqala zika-2008.
NgoJanuwari 2009 - Kungekudala emva kokunyulwa kuka-Obama, wachaza iMpilo ye-America Plan. Into ephikisanayo yayaziwa ngokuthi "ukhetho loluntu." Le yiprogram ye-government-run as Medicare, kuphela kuphela ayiyi kuphelelwa ngumda. Le yindlela ebalulekileyo yokunciphisa iindleko zonyango nge-1.5 ekhulwini ngonyaka. Kungenxa yokuba urhulumente wesigqeba unamandla okufumana amaxabiso amancinci nokunciphisa ukungaphumeleli. Kodwa abachasene bathi ityhutyana yoluntu. Baxhalabile ukuba kwakuza kuthatha amandla kude kumazwe kunye nabantu ngabanye.
NgoNovemba 8, 2009 - iNdlu yabaBameli yadlulisela uMthetho-osaYilwayo weNkqubo yoLondolozo lwezeMpilo ka-2009. Iiprogram zayo zazibiza i-$ 894 yezigidigidi ngaphezu kweminyaka elishumi. Nangona kunjalo, kucetyiswa ukukhwabanisa kwabanikeli abafumana umvuzo ophezulu ekunciphiseni ukulahlekelwa yi-$ 104 yezigidigidi. Njengowiso-mthetho ka-Obama ka-2009, iBhili yeNdlu ephakanyisiweyo yenkqubo ye-inshurensi yempilo yonyango, eyaziwa njengoluhlu loluntu. Yanikela inkxaso-mali ngqo kubantu abangaqinisekanga ukuba bancede bathenge i-inshorensi ngokutshintshiselana.
NgoDisemba 24, 2009 - I-Senate yadlulisela uBill Bill Reform Bill 2009. Iiprogram zayo zaziza kubiza i-$ 871 yezigidigidi ngaphezu kweminyaka elishumi. Kuya kunciphisa ubuninzi bebhajethi ngeebhiliyoni eziyi-132 ezigidi ngelo xesha kunye nokwandisa irhafu kubanikezeli benkonzo yezempilo. Yanikela inkxaso kwiintsapho kunye namashishini amancinci ukuthenga i-inshurensi ngokutshintshiselana. Ihlawulise iinkampani ngokungaboneleli ngomshuwalense kodwa zanikezela ikhefu lentlawulo yamashishini amancinci ukuba abanako ukukwazi ukubonelela nge-inshurensi yempilo kubasebenzi babo.
NgoJanuwari 26, 2010 - IRiphablikhi yaseScott Scott ibambe isihlalo esiyinhloko saseMassachusetts eMassachusetts, sitshabalalisa i-Senate ye-Democracy ye-Democracy. Abaninzi bacinga ukuba oku kuphelelwa lithemba lokudlula nayiphi na i-bill yoncedo yokunakekelwa kwezempilo.
NgoJanuwari 27, 2010 - I-House Democrats ibhikisha irhafu yerhafu kwiiplani ze-inshurensi ephakamileyo kwiSicwangciso seSenate, esasichaphazela kakubi imizi yamanyano. Ngaphandle kwayo, i-ACA yayiza kudala i-$ 300 yeebhiliyoni ngokweminyaka elishumi.
NgoJanuwari 28, 2010 - Ulungiso lwezempilo lwe-Obama oluxhasa inkxaso yezempilo kwi- Aderesi yeNyunyana ka- 2010.
NgoFebruwari 22, 2010 - U-Obama uqalise isicwangciso sonyango sempilo esitsha esilungelelanisa izinto ezintle ze-Senate kunye neengxowa-mali zokunakekelwa kwezempilo zeNdlu ka-2009. Isiphakamiso sokuphucula unyango lwempilo ka-Obama sigunyaze imboni yoshishino lomshuwalense phantsi kweGosa leNqanaba leMpilo ye-inshurensi ye-Health member. Kwakuqhelekileyo uxanduva lombuso. NjengeBill ye-Senate, yenze ishintshi evumela iintsapho kunye namashishini amancinci ukuba athenge iiplani ze-inshorensi. Yigcina imingcipheko kwiinkxaso-mali zenkxaso-mthethweni yokukhipha isisu kodwa iyanciphisa iirhafu kwizicwangciso zezempilo eziphezulu.
Ngomhla wama-22 Matshi 2010 - iNdlu yabaBameli yadlulisela uMthetho wokuQinisekisa, owawulungiselela uMthetho-osaYilwayo weNgxowa-mali weNgcaciso yezeMpilo ngokubandakanya izicwangciso zonyango lokunakekelwa nguMongameli Obama ngoFebruwari 22.
Olungakumbi kwi-Obamacare
Ndiya kuthatha ixesha elingakanani? | Ingaba isebenza kanjani? l | Iinkonzo kunye neNgcaciso | Iindleko ze-Obamacare | I-Obamacare ichazwe ngokulula nje ngoko Umntwana Wakho Uya Kuyiqonda | Kutheni Ukuguqula Inkathalo yeMpilo
Ngolunye udaba lwangemva kweembali zendlela u-Obamacare adalwa ngayo, khangela incwadi yam Ultimate Obamacare Handbook (2015 - 2016) .