Medical Expense✓ Verified · outline & fact-checked · Sep 2026Difficulty 1/5
Which of the following is a primary purpose of the Patient Protection and Affordable Care Act (PPACA)?
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Answer & full 3-part explanation (select an option above, or peek)
Why A is correct
The PPACA was enacted to expand access to affordable health coverage, broaden consumer protections, and reduce the number of uninsured. Key mechanisms include guaranteed issue, prohibitions on pre-existing condition exclusions, premium tax credits and cost-sharing reductions for lower-income households, essential health benefits, and the establishment of state exchanges such as Covered California. The California A&H objectives test the legislative purpose of the ACA directly.
Why the other options are wrong
- B) The ACA preserved the private insurance market and created regulated exchanges; it did not create a single-payer system.
- C) The ACA kept employer-sponsored coverage at the center of the system and added the employer shared-responsibility rule.
- D) The ACA added federal requirements and state exchanges; it did not remove state regulation of health insurance.
Memory hook
ACA = more people covered, insurers accountable. Not single-payer, not no-employer, a regulated private market.