Patient Protection and Affordable Care Act
Enacted March 23, 2010
Purpose: To amend the Public Health Service Act in order to provide better health-care coverage for all Americans, improve health-care services for underserved communities, and for other purposes.
Note: Children's Bureau offers guidance on the provisions of this legislation in Program Instruction ACYF-CB-PI-10-10, issued June 7, 2010.
Major Provisions of the Act
Provisions relevant to child welfare practice include:
- Extended Medicaid coverage to former foster care children younger than age 26
- Required a State Children's Health Insurance Program (CHIP) plan, beginning January 1, 2014, to use modified gross income and household income to determine CHIP eligibility
- Required a State to treat any child who is determined to be ineligible for Medicaid as a result of the elimination of an income disregard based on expense or type of income as a targeted low-income child eligible for CHIP
- Amended title V of the Social Security Act (Maternal and Child Health Services) to provide grants to eligible entities for early childhood home visitation programs
- Required the case review system for children aging out of foster care and independent living programs to include information about the importance of having a health-care power-of-attorney in transition planning
- Reauthorized appropriations for health centers to serve medically underserved populations
- Reauthorized appropriations for FY 2010-2014 for the expansion and improvement of emergency medical services for children who need treatment for trauma or critical care
- Authorized the award of grants and cooperative agreements for demonstration projects for the provision of coordinated and integrated services to special populations through the co-location of primary and specialty care services in community-based mental and behavioral health settings
- Established a Pregnancy Assistance Fund for grants to States to assist pregnant and parenting teens and women
- Increased from $10,000 to $13,170 the dollar limitation on the tax credit for adoption expenses and the tax exclusion for employer-provided adoption assistance, allowed an inflation adjustment to such limitation after 2010, and made the credit refundable