Glossary

Term · California: Leave, Money, and Paperwork

Affordable Care Act

Also: ACA, Obamacare, health reform law

The 2010 US health law that expanded insurance and requires most plans to cover certain preventive services, including breastfeeding support and pumps.

In plain words

The Affordable Care Act, often called the ACA or Obamacare, is a US health law passed in 2010. It expanded health insurance and set rules for what most plans must cover. Under the law, many plans must cover certain preventive services for women without cost sharing, including breastfeeding support and breast pumps. The coverage rules come from guidelines set by the federal government. Coverage details still depend on your plan, your state, and how the pump is classed. Ask your insurer which pumps and services it covers, and what paperwork it needs. A or your provider can help with the request.

The deeper version

The Patient Protection and Affordable Care Act (2010) requires non-grandfathered private plans to cover preventive services recommended by the US Preventive Services Task Force, the Advisory Committee on Immunization Practices, and the Health Resources and Services Administration (HRSA). HRSA's include breastfeeding support, supplies, and counseling for pregnant and postpartum women, with pump coverage implemented through plan rules. Pumps are regulated by the FDA as medical devices. Coverage varies by plan type and by whether the pump is treated as durable medical equipment, which determines the benefit it falls under. The controversy concerns implementation gaps, including plan-specific exclusions and ongoing debate over the law's future.

Where it comes up

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Sources

  • US Congress — Patient Protection and Affordable Care Act, Public Law 111-148 (2010)
  • Health Resources and Services Administration — Women's Preventive Services Guidelines, breastfeeding support and supplies

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