Consequently, an individual may have to pay $6,350 for doctors’ services and hospital care and another $6,350 for prescription drugs under a plan administered by a pharmacy benefit manager.
The administration also confronts a Republican campaign to disrupt the start of the insurance marketplaces that are at the core of the law.
Republican-run legislatures and governors in at least 21 states have refused funding to expand Medicaid coverage for the poor and 27 have declined to set up the insurance exchanges, leaving that job to the federal government, according to the Kaiser Family Foundation. Since it was signed into law by Obama in 2010, House Republicans have voted 40 times to repeal or deny funding for all or parts of the Patient Protection and Affordable Care Act and have denied additional money to start the marketplaces.