1. What is the primary goal of the ACA? Answer: To increase access to affordable healthinsurance forthemillions of Americans without coverage and make health insurancemore affordable for those already covered. 2. List some of the provisions of the ACA Answer: Restructures the private health insurance market. Sets minimum standards for health coverage. Creates a mandate for most U.S.residents to obtain health insurance coverage. Provides for the establishment by 2014 of state-based insurance marketplaces (previously called exchanges) for the purchase of private health insurance. 3. How do families and individuals reduce the cost of purchasing coveragethrough the insurance marketplaces? Answer: Federal subsidies 4. Other provisions of the ACA Answer: Expands eligibility for Medicaid. Amends the Medicare program in ways that are intended to reduce the growth inMedicare spending. Imposes an excise tax on insurance plans found to have high premiums. Makes numerous other changes to the tax code, Medicare, Medicaid, the StatesChildren's Health Insurance Program (CHIP) and other federal programs. 5. How is the ACA projected to have a significant impact on federal spendingand revenues? Answer: Spending to subsidize the purchase of health insurance coverage through the state health insurance marketplaces. Increased outlays for the expansion of the Medicaid program. Numerous mandatory appropriations to fund temporary programs to incre