![]() ![]() ![]() President Barack Obama signed the Affordable Care Act (ACA) into law on Main the East Room before a select audience of nearly 300 people. JSTOR ( June 2017) ( Learn how and when to remove this template message).Unsourced material may be challenged and removed. Please help improve this article by adding citations to reliable sources in this section. This section needs additional citations for verification. The Congressional Budget Office (CBO) projected that the exchange would be used by an estimated seven million Americans to obtain coverage during the first year after its launch current estimates suggest that the combined figure is slightly above eight million. This relates to an expansion of the long-running program undertaken as a joint effort under the PPACA. also details Medicaid options for individuals. Designed to assist the millions of uninsured Americans, the comparison shopping features involve a visual format somewhat analogous to websites such as and Etsy. Visitors sign up and create their own specific user account first, listing some personal information, before receiving detailed information about what is available in their area. The site functions as a clearing house to allow Americans to compare prices on health insurance plans in their states, to begin enrollment in a chosen plan, and to simultaneously find out if they qualify for government healthcare subsidies. On July 30, 2014, the Government Accountability Office released a non-partisan study that concluded the administration did not provide "effective planning or oversight practices" in developing the website. While estimates that the overall cost for building the website had reached over $500 million prior to launch and in early 2014 HHS Secretary Sylvia Mathews Burwell said there would be "approximately $834 million on Marketplace-related IT contracts and interagency agreements," the Office of Inspector General released a report in August 2014 finding that the total cost of the website had reached $1.7 billion and a month later, including costs beyond "computer systems," Bloomberg News estimated it at $2.1 billion. The original budget for CGI was $93.7 million, but this grew to $292 million prior to launch of the website. ![]() The design of the website was overseen by the Centers for Medicare and Medicaid Services and built by a number of federal contractors, most prominently CGI Group of Canada. State exchanges also have had the same deadlines their performance has been varied. The open enrollment period for 2016 coverage ran from Novemto January 31, 2016. The deadline to sign up for coverage that would begin January 1, 2014, was December 23, 2013, by which time the problems had largely been fixed. The launch was marred by serious technological problems, making it difficult for the public to sign up for health insurance. On October 1, 2013, was rolled out as planned, despite the concurrent partial government shutdown. The website also assists those persons who are eligible to sign up for Medicaid, and has a separate marketplace for small businesses. The exchange facilitates the sale of private health insurance plans to residents of the United States and offers subsidies to those who earn between one and four times the federal poverty line, but not to those earning less than the federal poverty line. states which have opted not to create their own state exchanges. is a health insurance exchange website operated by the United States federal government under the provisions of the Affordable Care Act or ACA, commonly referred to as “Obamacare”, which currently serves the residents of the U.S. ![]()
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