Health insurance products under the ACA are subject to federal and state regulation. This table compares the rules for essential benefits, levels of coverage, and cost sharing.
Benefit and Coverage Rules Under the ACA: California vs. Federal Provisions (160 K)
Since passage of the federal Affordable Care Act (ACA) in 2010, California has enacted implementing state legislation in key areas, including establishment of a state-administered exchange, health insurance premium rate review, benefit standards and cost-sharing limits, and detailed rules for the offering and sale of private coverage to individuals and small employer groups. These measures were taken in the context of pre-existing state laws and programs, requiring policymakers to analyze and reconcile state and federal standards.
This overview compares California law and the ACA regarding benefit and coverage rules effective January 1, 2014. The following topics are presented in a side-by-side table:
The complete table is available as a Document Download.