Which of the Following Is NOT an Element of the Patient

Which of the following is NOT an element of the Patient Protection and Affordable Care Act (PPACA) ?

A) Close Medicare prescription drug "donut hole."
B) Everyone will have the opportunity to purchase insurance, but it will remain optional.
C) Expand Medicaid by lowering income eligibility level.
D) Expand coverage to 32 million uninsured and establish state-based exchanges for uninsured and self-employed to purchase insurance.