An In-Depth Look at Health Care Reform Funding

Issue Brief 17-07
February 16, 2017

Summary 

The Affordable Care Act (ACA) included many new grants and funding streams. It also reauthorized and provided funding for a number of existing programs. In general, the grants fall into one of the following categories:

  • No longer funded—These programs received an appropriation in the ACA, but the funding period has ended or the funds have been exhausted (e.g., Premium Review Grants and Health Insurance Exchange Planning Grants).

  • Subsequently extended—These programs received an appropriation in the ACA, and Congress extended the funding in subsequent legislation (e.g., Maternal, Infant, and Early Childhood Home Visiting, and Health Profession Opportunity Grants).

  • Funded from permanent ACA appropriations—These programs received funding from ongoing ACA funding streams, with the two major ones being the Prevention and Public Health Fund (PPHF) and the Center for Medicare and Medicaid Innovation (the Innovation Center).  

ACA also made major reforms to Medicaid that were accompanied by increases in federal funding, including the eligibility expansion for adults, and other eligibility and benefit enhancements.

This Issue Brief takes an in-depth look at the funding provided by the ACA, and provides state allocations for many ACA programs.