The Affordable Care Act of 2010 includes which major provisions?

• A. Increase employer payroll taxes and reduce Medicare benefits.
• B. Eliminate private insurance, moving to single-payer.
• C. Expand health insurance coverage, prevent discrimination for preexisting conditions, create exchanges, and expand Medicaid.
• D. Cap insurance profits and ban employer-sponsored plans.

Answer: (C)

The main idea tested is what reforms the Affordable Care Act introduced to reshape health insurance in the United States. The law aims to expand access to coverage while strengthening protections for consumers. Its four key provisions are: expanding health insurance coverage to more people, preventing discrimination based on preexisting conditions so insurers cannot deny coverage or charge higher premiums for health histories, creating health insurance exchanges (marketplaces) where individuals and small employers can compare and purchase plans, and expanding Medicaid to cover more low-income people.

These elements together reflect the ACA’s goals of reducing the uninsured rate and providing clearer, more uniform protections for people seeking coverage. The other options don’t fit because they describe measures that the ACA did not implement: it did not eliminate private insurance or move to a single-payer system; it did not primarily raise employer payroll taxes and cut Medicare benefits; and it did not cap insurance profits or ban employer-sponsored plans as a central provision.