Table 1.

Specific Provisions of the ACA With Implications for Insurance Coverage of Adult Survivors of Pediatric Cancer

Provision of the ACA	Implications for Pediatric Cancer Survivors
Prohibition of discrimination on the basis of health status (section 1201)	No denial or cancellation of insurance coverage due to preexisting condition or development of a new condition.
Coverage on parents' insurance (section 1215)	Mandatory coverage allowed up to age 26 years on parents' private insurance plan.
Change in minimum income eligibility for Medicaid (section 2001)	States can decide to raise the Medicaid minimum eligibility to 133% of federal poverty level.
No annual or lifetime coverage limits (section 2711)	Insurance companies can no longer set annual or lifetime coverage limits for medical services.
State-based exchanges (section 1311)	Each state will have a marketplace to purchase health insurance, with subsidies for qualifying individuals.

NOTE. Based on authors' interpretations of specified sections of the ACA.⁸

Abbreviation: ACA, Patient Protection and Affordable Care Act.