In 2010, the Affordable Care Act became law and in 2014 enacted the individual and employer mandates. Since then, the ACA has avoided 50 repeal votes in Congress and two lawsuits in the Supreme Court. Until October, no structural changes were considered — then magically, compromise appears.
On October 7th Congress unanimously passed and President Obama signed the PACE Act into law. On December 18th Congress passed and the President signed into law a last minute budget bill that included 4 major changes to the ACA – two year delay and permanent deductibility of the Cadillac Tax, one year delay of the HIT tax and a two year delay of the medical device tax. Wow, even more compromise and good news. What’s going on here? Let’s dig a little deeper, then you can decide.