Build on Assignment #1. You will cover the same health problem and the same policy unless otherwise indicated by your instructor.  

Assignment #2-policy implementation on “elderly and disabled patients

Assignment Title #2:

Patient Protection and Affordable Care Act, (ACA)

Responsable Agency:

The Department of Health and Human Services (HHS), particularly the Centers for Medicare & Medicaid Services (CMS), is responsible for implementing the policy. Other involved agencies include the Internal Revenue Service and the Department of Labor, as well as the Department of the Treasury.


HHS and CMS are the governing bodies for the enforcement of the ACA. The key areas for enforcement include ensuring that individuals have health insurance coverage, ensuring that insurance companies comply with the law’s requirements, and penalizing employers who do not provide affordable health insurance to their employees.


The ACA’s implementation involves a mix of state and federal actions. The HHS and CMS oversee the implementation of the law at the federal level, while state agencies are responsible for implementing some of the law’s provisions at the state level. Some aspects of the law may be implemented by local public health departments, including outreach and education. To achieve policy goals, collaboration may be possible with other organizations such as community-based health centers. Advocacy groups, healthcare providers, and citizens may play important roles in advocating the law and education. Grants may be awarded to support specific programs or initiatives related to the ACA’s goals.

Health Service Organizations and Their Impact

The following information is essential for Health Care Managers:

  1. The ACA mandates that health care organizations provide essential benefits such as hospitalization and preventive care.
  2. The ACA creates several quality improvement initiatives such as accountable care organisations and value-based payment models. These are designed to improve quality and efficiency in health care delivery.
  3. The ACA has provisions designed to decrease health care expenses, including the establishment of health insurance markets and expansion of Medicaid eligibility.
  4. The ACA can have significant implications for the development and diversity of the healthcare workforce.
  5. The ACA is political and economically significant. Any changes in the law or enforcement of it could have significant consequences for the health care sector.


The HHS and CMS websites provide information on the impact of the ACA to health organizations. These sites also contain updates from state agencies that are responsible for implementing it. For guidance and support, they can consult professional associations such as American Hospital Association or American Medical Association.

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