The 139-page regulation, which was released without fanfare, is largely a reflection of the proposed rule released in February. It confirms that individuals who cannot afford health insurance will not be subject to the penalty payment. It also clarifies an exemption from the penalty for people who live in states that have opted not to expand their Medicaid coverage.
The rule details nine categories of exemptions, including:
The final rule broadens the exemptions for American Indians to include individuals who are eligible to received medical care through the federal Indian Health Service. The Associated Press recently reported that PPACA exempted only American Indians and Alaska Natives who are members of the more than 500 tribes recognized by the U.S. Bureau of Indian Affairs. This final rule will also include the more than 100 tribes that are recognized by states only.