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The Exchange Information Disclosure Act () is a bill that would require the United States Department of Health and Human Services to submit weekly reports to Congress about how many people are using HealthCare.gov and signing up for health insurance. These reports would be due every Monday until March 31, 2015 and would be available to the public.〔(【引用サイトリンク】url=https://www.govtrack.us/congress/bills/113/hr3362/text )〕 The bill would "require weekly updates on the number of unique website visitors, new accounts, and new enrollments in a qualified health plan, as well as the level of coverage," separating the data by state.〔 The bill would also require reports on efforts to fix the broken portions of the website.〔 The bill was introduced on October 29, 2013 in the United States House of Representatives during the 113th United States Congress. The House was scheduled to vote on it on January 10, 2014.〔 On January 16th, 2014, the bill was passed. 226 Republicans and 33 Democrats have voted yes to the bill. 〔https://www.govtrack.us/congress/votes/113-2014/h23〕 ==Background== The Patient Protection and Affordable Care Act (PPACA),〔, , codified as amended at scattered sections of the Internal Revenue Code and in 42 U.S.C.〕 commonly called the Affordable Care Act (ACA) or "Obamacare", is a United States federal statute signed into law by President Barack Obama on March 23, 2010. Together with the Health Care and Education Reconciliation Act,〔, , codified as amended at scattered sections of the Internal Revenue Code and in 42 U.S.C., 19 U.S.C., and 20 U.S.C.〕 it represents the most significant regulatory overhaul of the U.S. healthcare system since the passage of Medicare and Medicaid in 1965. The ACA was enacted with the goals of increasing the quality and affordability of health insurance, lowering the uninsured rate by expanding public and private insurance coverage, and reducing the costs of healthcare for individuals and the government. It introduced a number of mechanisms—including mandates, subsidies, and insurance exchanges—meant to increase coverage and affordability. Healthcare.gov is a healthcare exchange website created by and operated under the United States federal government as per the provisions of the PPACA, designed to serve the residents of the thirty-six U.S. states that opted not to create their own state exchanges. Americans had until December 23, 2013 to sign up for coverage that would begin in January 2014. The official enrollment period deadline is the last day of March.〔 The PPACA detailed the exchange system as a way to comparison shop between different possible health insurance options for an individual within his or her state, with a visual format somewhat analogous to websites such as Amazon.com and Etsy. The contract allocated to CGI Group for building the federal website (Healthcare.gov) was valued at $292 million through to 2013, with estimates that the overall cost for building the website had reached over $500 million by October 2013.〔(We paid over $500 million for the Obamacare sites and all we got was this lousy 404 ) by Andrew Couts, Digital Trends, October 8, 2013〕 The Congressional Budget Office (CBO) forecast that about seven million Americans would use the website to obtain coverage during the first year after its launch. The October 1, 2013 roll-out of Healthcare.gov went through as planned, despite the concurrent partial government shutdown. The website has been marred by serious technological problems since its launch, making it difficult for Americans to sign up for health insurance. On October 27, only about seven hundred thousand people filed applications, with even fewer actually enrolled in plans. On October 20, President Barack Obama made a thirty-minute Rose Garden appearance discussing the varied issues. "There's no sugar coating: the website has been too slow, people have been getting stuck during the application process and I think it's fair to say that nobody's more frustrated by that than I am," he remarked. Promising a "tech surge" of the best people that his administration could assemble, he added, "there's no excuse for the problems, and these problems are getting fixed."〔 Issues with Healthcare.gov have persisted weeks past the launch, with the website unable to reach its related data services hub on October 28. Said glitches have particularly beleaguered Health and Human Services head Kathleen Sebelius. As of November 30, over 137,000 people have obtained insurance coverage from Healthcare.gov, a figure representing the strong improvement of the user experience since October yet still vastly trailing past U.S. government estimates. The Exchange Information Disclosure Act would require the Obama Administration to provide more information related to these problems to Congress and the American public. 抄文引用元・出典: フリー百科事典『 ウィキペディア（Wikipedia）』 ■ウィキペディアで「Exchange Information Disclosure Act」の詳細全文を読む スポンサード リンク
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