ACA Title 1, Sec. 1555. Freedom not to participate in federal health insurance programs: “Good” – prevents coercion of health plan providers. This section provides a basic statement that prohibits any penalty or fine to any entity that offers health insurance and chooses not to participate in any federal health insurance program. However, one could argue that given the extensive involvement of federal health insurance programs in the financing of health care in the U.S. that not participating represents a “death wish” on the part of any health plan. Perhaps a somewhat perfunctory qualification.

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