Deck 3: Affordable Care Act

Question 1

Which of the following are part of Kingdon's Multiple Streams model?

A) Problems stream
B) Policy stream
C) Politics stream
D) All of the above

Answer 1

D

Question 2

Medicare is closest to which model?

A) National health insurance model
B) Bismarck model
C) Beveridge model
D) uninsured model

Answer 2

A

Question 3

Guaranteed issue is

A) the requirement that the federal government provide health care to all its residents
B) the requirement that private insurance companies cover all who apply for policies regardless of preexisting conditions
C) the requirement that all employers have to offer a health insurance benefit to their employees.
D) the requirement that everyone has to purchase health insurance

Answer 3

B

Question 4

A high-risk pool is one in which

A) health insurance companies assume all the risk of covering people
B) government assumes all the risk of covering people
C) people with significant health needs are separated into a separate insurance group
D) none of the above

Question 5

Which state adopted a health insurance reform policy that became the model for the Affordable Care Act?

A) Texas
B) New York
C) Massachusetts
D) Vermont

Question 6

Momentum for health insurance reform in the 21^st century began with

A) the off-year elections of 2006
B) the presidential election of 2008
C) the off-year election of 2010
D) the presidential election of 2012

Question 7

In 1993-1994, the insurance industry ______ the Clinton plan; in 2009-2010, the insurance industry ______ the Affordable Care Act.

A) supported; opposed
B) supported; supported
C) opposed; opposed
D) opposed; supported

Question 8

According to Mann and Ornstein, the Republican Party became ______ while the Democratic Party became ______.

A) more liberal; more conservative
B) both parties became more conservative
C) much more conservative; more liberal
D) both parties became more liberal

Question 9

What does the "rule of sixty" in the Senate mean?

A) A bill needs sixty positive votes to be able to move to the floor of the Senate
B) Sixty senators need to be present in order for a bill to move to the floor of the Senate
C) Sixty votes are needed to overturn a presidential veto
D) If sixty senators vote against a bill, then they cannot use the reconciliation process

Question 10

How does the Affordable Care Act deal with abortion

A) The Affordable Care Act does not provide for coverage of abortions.
B) The Affordable Care Act allows coverage for all abortions.
C) The Affordable Care Act will only pay for abortions in the first trimester of a pregnancy.
D) The Affordable Care Act requires states to pay for abortions.

Question 11

There is a fair amount of disinformation messaging going on, as detailed in chapter 3. Why is such message effective?

A) The public is not well informed.
B) A large majority of the public believes in conspiracy theories.
C) The public likes public programs but does not want to pay the taxes to support them.
D) Answers a and c

Question 12

What is the impact of presidential leadership on an issue?

A) It tends to increase the success of the issue being proposed.
B) It has no impact on the likelihood of success of the issue.
C) It exacerbates partisanship and thus makes it less likely that an issue proposal will be passed.
D) Nobody knows.

Question 13

Why was the Affordable Care Act able to pass whereas the Clinton Health Security Act went down to defeat?

A) More interest groups support the Affordable Care Act than the Health Security Act.
B) The leadership of parties had more control over their membership.
C) The Democratic Party maintained its support for the Affordable Care Act
D) All of the above.

Question 14

How many Republicans in the House and Senate voted for the Affordable Care Act?

A) None.
B) Ten.
C) Fifty.
D) One hundred.

Question 15

The Affordable Care Act was passed via a process known as

A) reconciliation
B) ping-pong
C) conference committees
D) the filibuster

Question 16

The major way(s) that the Affordable Care Act increased the number of people who were insured were through

A) health care exchanges
B) Medicaid expansion
C) vouchers
D) a & b

Question 17

Under the Affordable Care Act, what was the eligibility level of the federal poverty level (FPL) increase to?

A) 100%
B) 138%
C) 150%
D) 200%

Question 18

Subsidies for those purchasing policies on the health exchanges are available to those with income up to what percentage of the federal poverty level (FPL)?

A) 100%
B) 200%
C) 300%
D) 400%

Question 19

The medical-loss ratio is

A) the amount of money insurance companies loses in covering their subscribers.
B) how much hospitals lose by treating Medicaid patients.
C) the percentage of premiums insurance companies have to spend on healthcare for their subscribers.
D) the percentage of doctors who have committed mistakes.

Question 20

In National Federation of Independent Businesses v. Sebelius,

A) the U.S. Supreme Court held that all states had to expand Medicaid.
B) the U.S. Supreme Court held that states could not be coerced into expanding Medicaid.
C) the U.S. Supreme Court held that states were required to set up their own healthcare exchanges.
D) the U.S. Supreme Court held that the Affordable Care Act was unconstitutional.

Question 21

How many Democrats voted to repeal-and-replace the Affordable Care Act?

A) None.
B) Ten.
C) Fifty.
D) One hundred.

Question 22

In Burwell v. Hobby Lobby Stores, Inc., what did the U.S. Supreme Court rule?

A) The Affordable Care Act is unconstitutional.
B) All companies had to comply with the law's mandate for birth control coverage.
C) The mandate for birth control coverage was unconstitutional.
D) privately-held corporations did not have to provide birth control coverage if objected for religious reasons.

Question 23

The Tax Cut and Jobs Act:

A) required that all employers provide health insurance for their employees.
B) eliminated the tax subsidies for purchasing insurance policies on the health exchanges.
C) eliminated the tax penalty for individuals who did not purchase health insurance.
D) All of the above.

Question 24

Which part of the Affordable Care Act did a majority of the public consistently oppose?

A) Tax subsidies for purchasing insurance policies on the exchanges.
B) The individual mandate.
C) The state expansion of Medicaid.
D) The employer mandate.

Question 25

As of October 2018, how many states had expanded Medicaid?

A) All of them.
B) Forty states.
C) Thirty states.
D) Twenty states.

Question 26

Which repeal-and-replace proposal passed the U.S. House of Representatives

A) The American Health Care Act.
B) The Healthcare Freedom Act.
C) The Better Care Reconciliation Act.
D) The Cassidy-Graham-Heller-Johnson Act.

Question 27

The Congressional Budget Office "scores" or evaluates proposals in Congress. In the context of attempting the repeal-and-replace the Affordable Care Act, what does scoring mean?

A) How many additional people would be uninsured because of passage of an act.
B) How would the proposed legislation affect the federal budget deficit.
C) Whether Planned Parenthood would be defunded?
D) a & b

Question 28

Why did none of the Republican proposals to repeal and replace the Affordable Care Act pass Congress?

A) The Democrats opposed it.
B) President Trump opposed it.
C) Enough Republicans voted against them so that they could not a majority in favor.
D) a & B

Question 29

Which of the following were efforts by the Trump administration to undermine the Affordable Care Act?

A) Refusal to pay navigators to help consumers choose plans on the exchanges.
B) Approving so-called "skinny" insurance plans as alternatives to exchange plans.
C) Closing the federal exchange web sites on Sundays for maintenance.
D) All of the above.

Question 30

What is the major complaint from consumers about the healthcare exchanges?

A) The high cost of cost-sharing.
B) Inability to navigate the online exchanges.
C) States' refusal to expand Medicaid.
D) The lack of competition on the exchanges.