Which act established the Federally-facilitated Marketplace?

The Affordable Care Act (ACA) is the legislation that established the Federally-facilitated Marketplace. This act, signed into law in March 2010, aimed to increase the quality and affordability of health insurance, expand coverage, and reduce healthcare costs in the United States. One of its key provisions was the creation of health insurance marketplaces, where individuals and small businesses could shop for and enroll in health insurance plans.

The ACA provides the framework through which the Federally-facilitated Marketplace operates, allowing individuals in states that did not establish their own marketplaces to access essential health coverage. It was designed to help uninsured Americans and ensured protections for people with existing health conditions, thereby transforming the healthcare landscape.

Other options like the Health Insurance Portability Act mainly focused on protecting health insurance coverage for workers and their families when they change or lose jobs, while the Patient Protection Act is often referred to as part of the ACA but is not the standalone act that established the marketplace. The Universal Health Coverage Act is not a recognized piece of legislation in this context. Therefore, the Affordable Care Act directly correlates with the establishment of the Federally-facilitated Marketplace.