...Eric M. Patashnik; Jonathan Oberlander Abstract Since the enactment of the Affordable Care Act (ACA) in 2010, conservatives have sought to undermine the law's entrenchment. While they have failed in their ambitious quest to repeal the ACA, opponents have succeeded in overturning one major provision...

...Michael W. Sances; Joshua D. Clinton Abstract Context: The authors examined whether participation in the Affordable Care Act (ACA) differed by political partisanship. Answering this question is important for understanding how contentious elite-level decision making and discourse may affect policy...

...Anuj Gangopadhyaya; Bowen Garrett Abstract Many politicians, policy makers, and analysts have debated whether the Affordable Care Act (ACA) would have negative effects on the labor market, such as reducing employment, earnings, or hours worked. Building on the existing literature, we investigated...

...Michael S. Sparer; Lawrence D. Brown Abstract The ACA created a new type of nonprofit health insurance entity, the “Consumer Operated and Oriented Plan” (“co-op”). Most of the newly created co-ops soon lost money, and only 4 of the original 23 remain. We interviewed key stakeholders and conducted...

...Timothy Stoltzfus Jost; Katie Keith Abstract Despite its passage a decade ago, the Affordable Care Act (ACA) remains a politically divisive law. These political divisions have long been on display in Congress, in the White House, and in states. A long-standing stalemate in Congress—where...

... Care Act (ACA) in 2010 was thus a landmark political and policy achievement. Its passage, which was enabled partly by Democrats securing the only filibuster-proof supermajority in the Senate attained by either party between 1980 and 2020, contravened assumptions about American health care politics and...

...-shaped wedge.” Were Lovell a health policy historian, he could have been recounting the passage of the Affordable Care Act (ACA) in 2010. Numerous past health care reform initiatives had bounced off the governing system's unresponsive firmament, ignored, lost without a trace in the political ether...

...John E. McDonough Abstract The Affordable Care Act (ACA) is a mosaic across a spectrum of health policy domains. The law contains hundreds of smaller and mostly unnoticed reforms aimed at nearly every segment of American health policy. Ten years later, these provisions include successes, failures...

... used only for the “truly” needy. This article highlights several paradoxes within Medicaid that have led to this growing bifurcation, and it concludes by shedding light on important targets for future reform. Copyright © 2020 by Duke University Press 2020 Medicaid ACA politics It was...

... unusual politics and structure of US health care and how the US experience could bring more to international conversations about health care and the welfare state. After introducing the concept of casing—asking what the Affordable Care Act (ACA) might be a case of—the authors discuss different “casings...

...Colleen M. Grogan Copyright © 2014 by Duke University Press 2014 This content is made freely available by the publisher. It may not be redistributed or altered. All rights reserved. The enactment of the Patient Protection and Affordable Care Act (ACA) in 2010 was full of surprising...

...Samuel Trachtman Abstract Context: Political partisanship can influence whether individuals enroll in government programs. In particular, Republicans, ceteris paribus, are less likely to enroll in Affordable Care Act (ACA) individual marketplace insurance than Democrats. The logic of adverse...

... access option. Affordable Care Act premiums self-employed Editor's Note: JHPPL has started an ACA Scholar-Practitioner Network (ASPN). The ASPN assembles people of different backgrounds (practitioners, stakeholders, and researchers) involved in state-level health reform implementation...

...Heather Howard; Galen Benshoof Abstract In the federalist spirit of the rest of the Affordable Care Act (ACA), section 1332 of the law authorizes new optional waivers for state innovation. These waivers, 1332 waivers, as they have become known, offer states the flexibility to refashion their...

...Colleen M. Grogan; David K. Jones; Julianna Pacheco Copyright © 2017 by Duke University Press 2017 Freely available online through the Journal of Health Politics, Policy and Law open access option. When the Affordable Care Act (ACA) was passed in 2010, there was a key role for states in...

...Julianna Pacheco; Elizabeth Maltby Abstract We consider two ways that public opinion influenced the diffusion of ACA policy choices from 2010 through 2014. First, we consider the policy feedback mechanism, which suggests that policy decisions have spillover effects that influence opinions in other...

...Andrew Karch; Aaron Rosenthal Abstract Supporters of the Patient Protection and Affordable Care Act (ACA) sometimes speculate that public attitudes toward the law will shift if proponents succeed in focusing attention on its more popular components, but the scholarly literature on framing effects...

...Rena M. Conti; David K. Jones Abstract The ACA entails a number of provisions that are profoundly changing the way the states ensure access to medical care, including the expansion of Medicaid and the maintenance of health insurance exchanges. Here, we argue that while federal policy is the...

... evidence used by people operating within this realm of advocacy groups and other organizations when they make demands around public policy. This article explores the degree to which the extensive academic research on the effects of the Affordable Care Act (ACA) was employed in the advocacy campaign...