Only one provision of the Bipartisan Budget Act is directly relevant to the Affordable Care Act. That provision repeals section 1511 of the ACA, which requires employers that offer health insurance and that employ more than 200 employees to automatically enroll new employees in a health plan, subject to any legal waiting periods. Section 1511 further requires employers to give employees notice that they can opt out of the plans in which they are auto-enrolled in at any time. This is a "nudge" provision, intended to reverse the course of inertia and encourage enrollment in coverage by employees who might otherwise forgo doing so if they had to initiate enrollment on their own.
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