Affordable Care Act


Through a number of provisions—such as individual and employer mandates, health insurance exchanges, and the expansion of Medicaid—the Patient Protection and Affordable Care Act (ACA) aims to expand access to health care for uninsured Americans. RAND has examined implementation challenges, cost and coverage implications, Medicaid expansion, state health insurance exchanges, and reforms to both care delivery and payment.

  • Report

    How to Prevent Health Insurance Loss During Future Recessions

    The pandemic–related recession and job loss raised concerns that millions of Americans would lose their health insurance. But temporary aid to protect coverage prevented that from happening. Making the enhanced marketplace tax credits in the American Rescue Plan permanent could keep coverage stable in future recessions.

    Nov 12, 2021

  • Commentary

    The Importance of Getting the Affordable Part of the Affordable Care Act Right

    The ACA's expansion of Medicaid and the marketplaces that sell subsidized policies have helped decrease the uninsured rate. Research on being underinsured shows that affordability at the point of care is central to keeping people healthy. For example, a new study found a significant relationship between having health insurance and better asthma control.

    Jun 17, 2022

Explore Affordable Care Act

Research conducted by