CHRT-Guide to State Requirements and Policy Choices in the Affordable Care Act

The Center for Healthcare Research and Transformation (CHRT) at the University of Michigan released a brief summarizing major requirements and policy choices for states between now and 2014. According to CHRT, the two most significant ACA requirements for state implementation between now and 2014 are:

• To establish health insurance exchanges for individuals and small businesses
• To expand Medicaid coverage to cover all those up to 133 percent of the federal poverty level (138 percent with the five percent income disregard), regardless of categorical eligibility.

The brief provides a list of actions, implementation dates, funding, and policy issues for:

• State requirements and policy choices in the ACA
• ACA provisions with potential budgetary impact but no state action required

The final page provides a guide to acronyms used in this document and a list of useful websites by ACA topic.