The article reports on the impact of the 2010 U.S. Patient Protection and Affordability Care Act (PPACA) on the coverage of essential health benefits for persons with disabilities. Some of the risk-shielding, discriminatory strategies used by insurers, such as the initial design of benefits and services, utilization management practices, and actuarial ratings, are pointed out. That the PPACA recognizes the importance of reasonable investments in all people is highlighted.



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