In healthcare, the federal Patient Protection and Affordable Care Act (PPACA) introduces a new income definition—Modified Adjusted Gross Income (“MAGI”) for determining Medicaid income eligibility across the country. MAGI, pronounced the same way as the Biblical term, will be a regular figure in future accounts of who has access to the best prices for health care coverage and will be relevant for Insurance Exchanges ("HIX").
As of Wednesday November 14th, here is an update on which direction each state is headed. States have until Friday November 16th to declare their intentions, although States received extra time from U.S. Health and Human Services to submit operating plans for the Insurance Exchanges until December, 2012.
If The Patient Protection and Affordable Care Act (PPACA) is repealed it will be interesting to see if it is repealed in whole or in part. The Supreme Court of the United States (SCOTUS) may excise the individual mandate requiring health insurance coverage, or it could strike it down entirely.