Private health insurance market reforms in the aca congressional research service 1 he patient protection and affordable care act aca pl 111 148 as amended includes reforms of the health insurance market that impose requirements on private health insurance plans1 such reforms relate to the offer issuance generosity and pricing of. The affordable care act includes a number of provisions that reform the health insurance market these reforms work to put american consumers back in charge of their health coverage and care ensuring they receive value for their premium dollars. Private health insurance market reforms in the aca congressional research service summary the private health insurance provisions in the patient protection and affordable care act pl 111 148 aca as amended include market reforms that impose requirements on private health insurance plans. The patient protection and affordable care act aca has revolutionized the health insurance industry in a number of ways its impacts have been vast and wide. The patient protection and affordable care act aca pl 111 148 as amended establishes federal requirements that apply to private health insurance its market reforms affect insurance offered to groups and individuals and impose requirements on sponsors of coverage eg employers
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