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.
ACA rules affecting premiums Premiums will change under the ACA due to provisions beginning in 2014 that affect the composition of the risk pool, benefit coverage rules, administrative cost rules, and limits on premium variations.f the low-cost indi-viduals, who are vulnerable to the largest gross premium increases, elect to leave (or not join) the individual market after the ACA 2014 rules take effect, upward pressure on premiums will result. The premium subsidies and individual mandate could reduce this effect.