the date on which the governor approved the ratification, or the date on which the secretary. of state of a given State certified the ratification, or the date on which the Secretary of State. of the United States received a copy of said certificate, or the date on which he proclaimed that. the amendment had been ratified are not controlling. Hence, the ratification date given in the.
Since the Affordable Care Actâs (ACA) health insurance marketplaces first took effect in 2014, news story after story has focused on premium increases for certain plans, in certain cities, or for certain individuals. Based on preliminary reports, premiums now appear set to rise by a substantial amount in 2017.
Van Hollenâs office says he meant that the ACA has significantly reduced the growth in health care costs. Thatâs different. Per capita health care costs have been rising at just under 3 percent a year over the last four years, but thatâs less than half the average annual growth in the preceding eight years.Economists say the recession is the biggest reason for the dip â though many also credit the ACA for a bit of the decline.he per capita cost of health care expenditures in 2012 was $8,915, according to the Centers for Medicare & Medicaid Services. It was $8,170 in 2009, $8,411 in 2010 and $8,658 in 2011.