March 23, 2015, marks the fifth anniversary of the Affordable Care Act.  ACA anniversary materials are found below:


We hope to have the Cabinet participate in the #BetterWithObamacare Thunderclap at 2:00 p.m. ET on Monday. Click here to sign up! We also encourage you to join the conversation using  #BetterWithObamacare all day, see below content HHS and other partners are planning to amplify.

Join our #BetterWithObamacare Thunderclap Click here to sign up your account today! Don’t delay – Thunderclap launches at 2pm EST on March 23rd.

·         #ACAisWorking & making high quality health care more affordable, accessible. Celebrate #BetterWithObamacare:

·         #BetterWithObamacare Help us celebrate 5 years of the #ACA! Join our #Thunderclap:

·         #BetterWithObamacare Join our Thunderclap and celebrate 5 years of the Affordable Care Act:

·         On Monday, we mark 5 yrs of #ACA making a difference in the lives of millions of Americans! Join our #Thunderclap:

·         The #ACA is making a difference in the lives of millions of Americans – help us celebrate #BetterWithObamcare:


New Video: #ACAisWorking By the Numbers

·         #ACA has helped achieve a historic reduction in the uninsured. 16.4M uninsured people have gained coverage:


·         #ACAisWorking: 5 years providing access to quality, affordable health coverage:  #BetterWithObamacare

·         Since it was signed into law in 2010, check out how #ACAisWorking by the #’s:  #BetterWithObamacare

·         #BetterWithObamacare Delivering on providing access to quality, affordable coverage to millions of Americans

·         WATCH: 5 years later – 16.4M uninsured people have gained coverage, #ACAisWorking for millions of Americans.


5-Year Anniversary


Click here to download graphics to share with your network.

  • The #ACAisWorking for nearly 11.7M who #GotCovered. Read their stories, and then share yours with us:   #BetterWithObamacare #ACA funciona para casi 11.7 millones que recibieron cobertura #Asegúrate. Lee sus relatos, y comparte los tuyos:  #BetterWithObamacare
  • #BetterWithObamacare #ACAisWorking for millions who #GotCovered, like Carlos. Read his story:

#BetterWithObamacare #ACA funciona para millones que recibieron cobertura #Asegúrate, como Carlos:

  • #BetterWithObamacare #ACAisWorking for millions who #GotCovered, like Jennifer. Read her story:

#BetterWithObamacare  #ACA funciona para millones que recibieron cobertura #Asegúrate, como Jennifer:

  • #BetterWithObamacare Because of the #ACA, quality health care is finally affordable for millions of Americans. #ACAisWorking #BetterWithObamacare  Gracias a la Ley de Cuidado de Salud a Bajo Precio (#ACA), la atención médica de calidad se volvió finalmente accesible para millones de estadounidenses. #ACA funciona
  • #BetterWithObamacare Expanding access to quality, affordable health care for all Americans.

#BetterWithObamacare  Expandió el acceso a la atención médica a costo económico y de calidad para todos los estadounidenses.


#ACAisWorking Content

  • #BetterWithObamacare Since #ACA passed – 16.4M uninsured Americans #GotCovered, a historic reduction in the uninsured. #ACAisWorking

#BetterWithObamacare Desde que la Ley de Cuidado de Salud a Bajo Precio #ACA se promulgó, 16.4 millones de estadounidenses sin seguro médico han obtenido cobertura #GotCovered, dándose así una reducción histórica en el número de personas sin seguro. #ACA funciona

  • #BetterWithObamacare Because of the #ACA, quality health care is finally affordable for millions of Americans. #ACAisWorking

#BetterWithObamacare  Gracias a la Ley de Cuidado de Salud a Bajo Precio (#ACA), la atención médica de calidad se volvió finalmente accesible para millones de estadounidenses. #ACA funciona

  • #BetterWithObamacare Nearly 11.7M people signed up to #GetCovered for 2015. #ACAisWorking

#BetterWithObamacare  Aproximadamente 11.7 millones de personas se suscribieron a la cobertura #GetCovered para el 2015. #ACA funciona

  • #BetterWithObamacare Since #ACA passed in 2010, 2.3M young adults gained coverage. #ACAisWorking

#BetterWithObamacare  Desde que la Ley de Salud (#ACA) se promulgó en el 2010, 2.3 millones de adultos jóvenes han adquirido cobertura. #ACA funciona

  • #ACAisWorking Expanding access to millions of Americans, over 11M gained coverage through #Medicaid #CHIP since 2014. #BetterWithObamacare

#ACA funciona. La expansión del acceso de millones de estadounidenses, con más de 11 millones adquiriendo cobertura a través de #Medicaid #CHIP des del 2014. #BetterWithObamacare

  • #ACAisWorking Increasing affordability – nearly 80% of Marketplace consumers could #GetCovered for $100 or less after tax credits. #BetterWithObamacare

#ACA funciona. El incremento de la asequibilidad – casi el 80% de los consumidores en el Mercado pueden adquirir cobertura #Asegúrate por $100 o menos luego de recibir los créditos tributarios. #BetterWithObamacare

  • #ACAisWorking Increasing affordability – Americans have saved $9B since 2011 b/c of #ACA 80/20 rule. #BetterWithObamacare

#ACA funciona. El incremento de la asequibilidad – Los estadounidenses han ahorrado $9 mil millones des del 2011 con la #ACA (Ley de Salud). #BetterWithObamacare


·         #ACAisWorking Increasing affordability by closing the ‘donut hole.’ 9.4M have saved $15B+ on prescription drugs. #BetterWithObamacare

#ACA funciona. Incremento de la asequibilidad al cerrar la brecha de cobertura. 9.4 millones de personas han ahorrado más de $15 mil millones en medicamentos recetados. #BetterWithObamacare

  • #ACAisWorking Since #ACA passed in 2010, we’ve seen historic slowdown in the growth of health care costs. #BetterWithObamacare #ACA funciona. Desde que la Ley de Salud (#ACA) se promulgó, hemos visto una desaceleración histórica en el crecimiento de los costos de atención médica. #BetterWithObamacare
  • #ACAisWorking Hospitals saved approx $7.4B in uncompensated care costs in 2014. #BetterWithObamacare #ACA funciona. Los hospitales ahorraron unos $7.4 mil millones en costos de la atención médica sin compensación en el 2014. #BetterWithObamacare
  • #ACAisWorking to deliver better care & better coverage – since 2010, 17% reduction in hospital acquired conditions nationwide. #BetterWithObamacare #ACA funciona para brindar mejor cuidado y cobertura – des del 2010 se han reducido por un 17% las afecciones adquiridas en hospitales de todo el país. #BetterWithObamacare
  • #ACAisWorking 28 states + DC have expanded #Medicaid under the #ACA, w/11M+ more Americans gaining coverage. #BetterWithObamacare #ACA funciona. Más de 28 estados y el Distrito de Columbia han expandido #Medicaid gracias al #ACA, con más de 11 millones de estadounidenses adquiriendo cobertura. #BetterWithObamacare
  • #ACAisWorking Millions of Americans have seen their coverage improve b/c of access to expanded preventive services. #BetterWithObamacare #ACA funciona. Millones de estadounidenses han visto mejorar su cobertura con el acceso a servicios de prevención expandidos. #BetterWithObamacare
  • #ACAisWorking Millions of seniors are saving billions of dollars on prescription drugs. #BetterWithObamacare



HRSA encourages health centers to view the recently released on-demand tutorial to support the FY 2015 Quarter 2 O/E QPR submission. This tutorial walks through the O/E QPR form and addresses frequently asked questions. O/E QPRs will be available to grantees on April 1, 2015 and will be due in HRSA’s Electronic Handbook (EHB) on April 13, 2015.

For additional assistance, please visit BPHC’s
Outreach and Enrollment webpage or email


HRSA has issued Program Assistance Letter (PAL) 2015-03 to describe the process for Health Center Program grantees to submit initial and redeeming Federal Tort Claims Act (FTCA) deeming applications for Calendar Year (CY) 2016.

Applications are due by
Tuesday, May 26, 2015, 11:59pm, ET.

Technical Assistance (TA) Webcasts will be held on April 2 (Risk Management) , April 8 (Credentialing), and April 9 (Professional Liability) from 2:00pm – 3:30pm, ET.

View more information on this PAL and TA Webcasts

From Coverage to Care recently released an Enrollment Toolkit dedicated to helping community partners, assisters, and others who help consumers enroll in coverage or change their plan. Sections start with a few questions consumers might have and, at the top of each page, include key messages for assisters to emphasize. At the end of the section, there are links to more resources for assisters and for consumers. The Toolkit offers tips for talking with consumers about why health insurance is important and explains how health insurance works in terms that consumers can understand. It also includes tips on how to talk with consumers about the types of financial assistance for which they may qualify, how this financial assistance relates to their income level, and what actions consumers need to take at tax time if they receive financial assistance during the year.

  • To view and download the From Coverage to Care Enrollment Toolkit, please click here.
  • To view and/or order other From Coverage to Care materials, please click here.
  • To check out the new From Coverage to Care landing page on, please click here.

On Friday March 13, the IRS issued an ACA Consumer Alert warning consumers about unscrupulous tax preparers who are instructing their clients to make individual shared responsibility payments (also known as the “fee,” or “penalty” for not having health insurance coverage) directly to the preparer instead of to the government with their tax returns. In some parts of the country, these preparers are targeting individuals with limited English proficiency, especially those who primarily speak Spanish. 

Following these reports, the IRS urges consumers to choose their tax preparers carefully. Assisters should remind consumers that if they owe a shared responsibility payment, they will make it through their tax return or in response to a letter from the IRS requesting payment. If a shared responsibility payment is due tax payers should pay it to the United States Treasury. The fee is never paid to an individual or return preparer. Additionally, many people do not owe a payment at all because they have coverage or qualify for an exemption.

Remember, individuals who are not U.S. citizens or nationals, and are not lawfully present in the United States, are exempt from the individual shared responsibility provision and do not need to make a payment. For this purpose, an immigrant with Deferred Action for Childhood Arrivals (DACA) status is considered not lawfully present and therefore is exempt. An individual may qualify for this exemption even if he or she has a social security number (SSN).

Please share this alert with consumers, and let them know that they can report a tax preparer who engages in fraudulent behavior to the IRS using Form 14157, Complaint: Tax Return Preparer. Please also let them know that there are resources that allow consumers to determine for themselves whether they owe the fee, including the IRS interactive tool, “Am I required to pay the Individual Shared Responsibility Payment?” and the Marketplace Exemptions Screener Tool.

In February, CMS notified about 800,000 tax filers, less than one percent of all  tax filers, to expect an updated Marketplace tax statement because the original version they were issued listed an incorrect benchmark premium amount. At that time, Treasury announced that if a consumer filed their taxes before learning that their Form 1095-A was incorrect because of this error, they will not need to file an amended return and the IRS will not pursue the collection of any additional taxes based on updated information in the corrected forms.

NEW: On Friday, March 20, the Treasury Department announced in a statement that any individual who enrolled in Marketplace coverage, received an incorrect Form 1095-A, and filed his or her tax return based on that form does not need to file an amended tax return. This relief applies to tax filers who enrolled in coverage through the Federally-facilitated Marketplace (FFM) and also includes State-based Marketplaces (SBMs).

Additionally, CMS announced that the vast majority of FFM consumers who needed a corrected Form 1095-A now have access to the corrected form. The corrected Forms 1095-A have been mailed out and FFM consumers should be receiving them shortly, if they have not already.  FFM consumers can also access their corrected Form 1095-A through their accounts. The Marketplace Call Center will also call and email consumers to let them know their corrected Form 1095-A is ready. Consumers who are concerned about the status of their updated form should contact the Marketplace Call Center at 1-800-318-2596.

Consumers may still choose to file an amended tax return with their corrected form. For example, consumers may decide to file an amended return because they may benefit from doing so if the monthly premium for the second lowest cost Silver plan on their incorrect form is less than the 2014 premium on the corrected form. The Treasury Department intends to provide additional information to help tax filers determine whether they would benefit from filing amended returns. Individuals also may want to consult with their tax preparers to determine if they would benefit from amending their tax return. For additional information, please see the associated FAQs posted by the Treasury Department.


Consumers are not eligible for the Tax Penalty SEP if they had an exemption for all of 2014 and did not owe the fee for a month or more in 2014. However, as long as a consumer owed the fee for one or more months in 2014, they can still qualify for the Tax Penalty even if they had MEC or an exemption for part of the year, if they meet the other requirements of the SEP. For example, if a consumer had an exemption for a few months, owed the fee for a few months, and had minimum essential coverage for a few months, but remained unaware of the ACA requirement to have minimum essential coverage, he or she could still qualify for the Tax Penalty SEP.

KEY TAKEAWAY: Medicaid enrollment continues to increase; assisters can use the new fact sheet to highlight how the Affordable Care Act is helping more consumers enroll in coverage through Medicaid. Remember: If they are eligible, consumers can enroll in Medicaid at any point during the year.

On Friday, March 20, 2015, the Center for Medicaid and CHIP Services (CMCS) released data showing that Medicaid enrollment increased by approximately 11.2 million individuals  between October 2013 and January 2015 – a 19.3 percent increase over the average monthly enrollment for July through September of 2013, the pre-Marketplace Open Enrollment timeframe. Among states that had implemented the Medicaid expansion and were covering newly eligible adults in January 2015, Medicaid and CHIP enrollment rose by 26.1 percent compared to the July-September 2013 baseline period, while states that did not expand Medicaid during the reporting period showed an increase of 7.8 percent over the same period.

  • To view the full enrollment update, click here.
  • To view the newly-released Medicaid and CHIP Application, Eligibility Determination, and Enrollment Data, click here.
  • To view a NEW fact sheet on Medicaid/CHIP and the ACA, click here.

KEY TAKEAWAY: In the 5 years since its passage, the ACA has made a difference in many Americans’ lives. Assisters and other partners are encouraged to share this information to show how the ACA is working.

Monday, March 23 marked the five-year anniversary of the signing of the Affordable Care Act. To date, 16.4 million uninsured people have gained health care coverage since the ACA’s passage. As President Obama said in a statement on the law’s fifth year anniversary:

These aren’t just numbers. Because of this law, there are parents who can finally afford to take their kids to the doctor. There are families who no longer risk losing their home or savings just because someone gets sick. There are young people free to pursue their dreams and start their own business without worrying about losing access to healthcare. There are Americans who, without this law, would not be alive today. (Click here to view the President’s full statement.)

The President and HHS Secretary Sylvia Burwell also described how the law has meant not just new coverage for millions, but also improved consumer protections for all:

After years of dropped coverage, flimsy plans and barriers to care, everyone’s coverage has improved, because consumers have new protections, including those who get health insurance through their employers. They can’t be turned away because of pre-existing conditions; they can’t be dropped just because they get sick; and insurance has to cover care that Americans count on … like trips to the emergency room, prescriptions and preventive services. (Click here for the Secretary’s full statement.)

  • Use these links to view a video on What Five Years of the ACA Means for Americaand a blog post onCelebrating 5 Years: The Personal Stories Behind the Affordable Care Act Numbers.
  • See this newsletter’s “Outreach Materials” section for additional promotional materials and sample bilingual Tweets on the ACA’s fifth anniversary.
  • HHS has also announced that as a result of Marketplace coverage and Medicaid expansion, hospital uncompensated care costs have been reduced by an estimated $7.4 billion in 2014, compared to what they would have been in the absence of the coverage expansion. Based on the HHS analysis, Medicaid expansion states account for an estimated $5 billion of that reduction. Click here to view this HHS report.
  • Click here to view the HHS report that found that 16.4 million people have gained health insurance since the ACA’s passage, and here to view the report’s technical appendix (also featured in last week’s newsletter).
  • Click here to view infographics that communicate this message.


KEY MESSAGE: We have resolved a system issue in which not all applicants who were eligible based on an income under 100% of the Federal Poverty Level and ineligibility for Medicaid due to immigration status received APTC.  Consumers affected by this issue can now change their applications to receive an updated APTC determination.

The Marketplace includes a question to help consumers who have been denied Medicaid and the Children’s Health Insurance Program (CHIP) by the state because of their immigration status. Answering this question will help properly evaluate eligibility for individuals with income under 100% of the Federal Poverty Level (FPL) who are ineligible for Medicaid or CHIP based on immigration status, but who may be eligible for an advance payment of the premium tax credit (APTC) and cost-sharing reductions (CSRs). This question allows these consumers to be evaluated for APTC and CSRs and enroll in a plan, if they are otherwise eligible.

The question will appear when:

  1. an applicant attests to being denied eligibility for Medicaid or CHIP; and
  2. the applicant also attests (earlier in the same application) to having eligible immigration status.

We have resolved a system issue that was affecting this question. Because of the system issue, when a household applied for Marketplace coverage and more than one applicant selected “yes” to the question described above, only the first person on the list of applicants received APTC. This issue has been resolved so that all applicants who select “yes” to the question can receive APTC, if otherwise eligible. We will have guidance available soon for consumers affected by the issue.