Small Business and the Affordable Care Act

Shane R. Lincoln (Editor)

Series: Small Business Considerations, Economics and Research, Health Care in Transition
BISAC: BUS060000



Volume 10

Issue 1

Volume 2

Volume 3

Special issue: Resilience in breaking the cycle of children’s environmental health disparities
Edited by I Leslie Rubin, Robert J Geller, Abby Mutic, Benjamin A Gitterman, Nathan Mutic, Wayne Garfinkel, Claire D Coles, Kurt Martinuzzi, and Joav Merrick


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The Patient Protection and Affordable Care Act contains several provisions to encourage employer-sponsored health coverage, particularly among small businesses. The provisions that most directly relate to small businesses are, an employer penalty for not providing health insurance; a tax credit to increase the affordability of health care for the smallest firms; and small business health insurance exchanges designed to increase plan options and lower plan costs.

First, this book explains how employer-sponsored insurance can be used to address concerns about health insurance coverage and cost. It summarizes the three ACA provisions most relevant to small businesses, listed above, and analyzes these provisions for their potential effects on small businesses. The book then presents several approaches that could address some concerns associated with these provisions (particularly the employer penalty). (Imprint: Nova)


Chapter 1 - The Affordable Care Act and Small Business: Economic Issues (pp. 1-34)
Sean Lowry and Jane G. Gravelle

Chapter 2 - Potential Employer Penalties under the Patient Protection and Affordable Care Act (ACA) (pp. 35-56)
Janemarie Mulvey

Chapter 3 - Delay in Implementation of Potential Employer Penalties under ACA (pp. 57-70)
Janemarie Mulvey, Bernadette Fernandez and Annie L. Mach

Chapter 4 - Summary of Small Business Health Insurance Tax Credit under the Patient Protection and Affordable Care Act (ACA) (pp. 71-78)
Janemarie Mulvey, Manon Scales and Annie L. Mach

Chapter 5 - Health Insurance Exchanges under the Patient Protection and Affordable Care Act (ACA) (pp. 79-124)
Bernadette Fernandez and Annie L. Mach

Chapter 6 - Key Facts About the Small Business Health Options Program (SHOP) Marketplace (pp. 125-144)
U.S. Department of Health and Human Services


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