an amendment to the
Patient Protection and Affordable Care Act signed into law in 2010. Among its many provisions, the amendment increased the tax credits to help individuals pay for health insurance, began the process of closing the coverage gap (the “donut hole”) for prescription drugs in Medicare (see
Medicare Modernization Act), ensured that doctors treating Medicare patients are reimbursed at the full rate, lowered the penalty for not buying health insurance, and set new requirements for local mental health centers intended to reduce fraud and abuse. The act also carried a rider that made the Department of Education, rather than private banks, the direct administrator of federally funded student loans.