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Health insurance reform — Pennsylvania

Former President Obama signed the Patient Protection and Affordable Care Act on March 23, 2010, which was upheld by the Supreme Court in 2012. A companion statute known as the Health Care and Education Reconciliation Act was signed into law one week later.  Collectively, these laws are referred to as the “Affordable Care Act” (ACA). This legislation has been phased in over a period of years. Efforts to repeal the ACA have not been successful, but certain regulatory requirements have been rolled back by the Trump Administration. Court challenges to the ACA have had more success, with one case currentlybeing litigated thatthe possibility of upending the statutory requirement that requires most private health insurance plans to cover specified preventive health services. However, until this case is finally decided, the ACA remains enforceable law. Set forth are some of the more important provisions affecting employers:

  • Employers must provide “reasonable break time” for breastfeeding working mothers. (Employers with 50 or fewer employees have a narrow undue hardship defense.) See Wages and hours.
  • Employees also are protected from any form of discrimination or retaliation if they report or help government authorities investigate possible violations of the Patient Protection and Affordable Care Act...

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