The Promise of the Affordable Care Act, the Practical Realities of Implementation: Maintaining Health Coverage During Life Transitions

Ken Jacobsand Laurel Lucia

Achieving the promise of the Affordable Care Act will require attention in federal regulations and actions by the new health insurance exchanges to ensure seamless coverage for those who rely on private insurance, including job-based coverage. This paper makes several policy recommendations to ensure that all Americans can maintain health coverage under the ACA—even during complicated life transitions.