The Republican-controlled House has voted to keep the government funded but its "continuing resolution" comes with a poison pill to defund the Affordable Care Act that Democrats have vowed is dead on arrival in the Senate.

The nation's health spending will bump up next year as the Affordable Care Act expands insurance coverage to more Americans, and then will grow by an average of 6.2 percent a year over the next decade, according to projections by government actuaries.

That estimate is lower than the typical annual increases before the recession hit. Still, the actuaries forecast that in a decade the health care segment of the nation's economy will be larger than it is today, amounting to a fifth of the gross domestic product in 2022.

Under Fire, Feds Add Health Law Privacy Protections

Sep 19, 2013
PATRICIA BORNS / For Miami Herald

In the wake of criticism from Republicans including Florida Gov. Rick Scott, the Obama administration is beefing up security measures for data submitted to "navigators" by people seeking insurance under the federal health overhaul.

Sobel, Hudson Debate Obamacare Concerns Before Congress

Sep 19, 2013

Two Florida lawmakers --- one who supports the 2010 federal health-care law and one who opposes it --- testified in a congressional hearing about problems that states are confronting as a Oct. 1 deadline approaches for implementing a key part of the law known as Obamacare.

C.W. Griffin / Miami Herald Staff

Starting October first, Floridians will be able to buy health insurance through a government-run website—or “health insurance exchange”—where consumers can compare plans and prices.

Under the Affordable Care Act, most uninsured adults who don’t purchase insurance or aren’t covered by employers will have to pay a fine come tax time.

Health and Human Services Secretary Kathleen Sebelius held a panel on the Affordable Care Act at Miami-Dade College on Tuesday but getting the word out hasn’t been easy in Florida.

At a community center named for Florida civil rights pioneer Carrie Meek, a few dozen members of Miami's National Church of God gathered over the weekend for a tea party — and to hear from a special guest, Monica Rodriguez of Enroll America.

The organization is working to spread the word about the Affordable Care Act, the federal law that will let people without health insurance shop for coverage starting Oct. 1.

People who lose their jobs and the health insurance tied to them will have new coverage options when the Affordable Care Act's marketplaces open in October.

But consumer advocates are concerned many of these unemployed people may not realize this and lock themselves into pricier coverage than they need.

When the Affordable Care Act was working its way through Congress, Gary Lauer was nervous. Part of the bill sounded grim. It said people could buy required health coverage online, but only through websites run by state and federal governments.

"That was going to pretty much delete us from the landscape," he says.

Thousands of retirees covered by company health insurance plans will soon see their benefits shifted toward private health-insurance exchanges.

IBM and Time Warner announced the change last week. They’ll provide retirees money to buy Medicare Advantage or supplemental Medigap policies instead, part of a push by businesses to move away from the increasingly costly group-coverage model.

American Airlines may follow. Its parent company, AMR Corp., is seeking approval to make the change from a federal bankruptcy court judge.

A key part of the Affordable Care Act takes effect on Oct. 1. That's when Americans shopping for health insurance can begin enrolling in the program.