The Patient Protection and
Affordable Care Act (ACA) was
enacted on March 23, 2010.
requires cooperation between key
stakeholders, federal and state
agencies, and reform advocacy
organizations. Because the fifty
states vary greatly, each state’s
implementation process will be
In 2009, Arizona’s population was
estimated to be 6,595,778.1
Arizona is also very diverse, which
makes this state unique in many
ways, including health care needs
and presents a special challenge to
those trying to implement health
reform in the state.
ACA is designed to address these concerns by providing affordable access to health insurance coverage to those individuals who would otherwise be unable to obtain coverage, and to extend current benefits and services provided by Medicaid (a federal and state funded public insurance program that provides health insurance coverage for low‐income and disabled individuals and families).
Effective Immediately: ACA makes tax credits available to qualifying small businesses to help them afford coverage for their employees. These tax credits could total up to 50% of a business’ health insurance premiums. In 2008, Arizona had over 85,000 small employers,6 which represented over 70% of the state’s employers.7
Effective January 2014: ACA provides a tax credit to qualified individuals so that they may
purchase health insurance through the exchanges. Qualification for the tax credit will be
based on the individual’s household income and his/her number of dependents. A
person who earns between 133% and 400% of the federal poverty level8 may be eligible
for individual tax credits.
Effective January 2014: ACA requires that states create an insurance market “exchange”
– a marketplace where people will be able to compare and shop for health insurance.
This will make access to health plans easier and more efficient. U.S. citizens, legal
immigrants, and small businesses will be able to purchase insurance through these
Effective July 2010: High‐risk pools are designed to provide health insurance coverage to people who were previously uninsurable due to a pre‐existing condition. Gov. Brewer indicated to Health and Human Services (HHS) Secretary Kathleen Sebelius that Arizona will not run ACA's new temporary federally funded high‐risk pool, but will defer to the federal government to fulfill that role.9
Effective January 2014: ACA contains provisions that would create new eligibility
requirements for Medicaid. For example, adults under the age of 65 earning less than
133% of the federal poverty level, may be eligible to apply regardless of whether they
have children. It is estimated that approximately 105,400 Arizonans may be able eligible
to join Medicaid.10
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