ACA Section 1557 – Nondiscrimination in Health Programs & Activities

Section 1557 of the Affordable Care Act builds on existing federal civil rights laws to prohibit covered entities from discriminating against individuals participating in certain health programs or activities on the basis of race, color, national origin, sex, age, or disability.

This page features information on the following aspects of the law:

  • Effective Dates
  • Who is Covered
  • Protections
  • Notice & Tagline Requirements
  • Additional Resources

Effective Dates

While section 1557 has been in effect since its enactment in 2010, a final rule implementing section 1557 became effective July 18, 2016. Certain notice requirements addressed in the final rule (discussed below) became effective October 16, 2016.

However, to the extent the provisions of the rule require changes to health insurance or group health plan benefit design (including covered benefits, benefits limitations or restrictions, and cost-sharing mechanisms, such as coinsurance, copayments, and deductibles), such provisions have an applicability date of the first day of the first plan year beginning on or after January 1, 2017.

Who is Covered


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