I believe a few challenges the ACA still faces is with miscommunication of parts of the legislation and the increasing cost to patients. A good example of the miscommunication of the legislation that led to more cost to a patient is a case where a family was made to repay tax credits they received after they had taken what they thought to be the appropriate steps. The advance premium tax credit under the ACA can turn out to be bitter sweet for some people. Under the plan, taxpayers with household incomes between 100 – 400% of the federal poverty line can receive premium assistance tax credits when they purchase plans through a health insurance exchange (Reichert, 2017). This is a benefit to those Americans because they are eligible for
