Under ACA Section 1557, prohibited actions involve

Under ACA Section 1557, prohibited actions involve

• A. Eligibility
• B. Claims
• C. Marketing
• D. Eligibility, claims, and marketing

Answer: (D)

Under ACA Section 1557, the protection against discrimination applies across multiple touchpoints in how health programs and activities operate. The law requires nondiscrimination in who can access an program (eligibility), how services and payments are handled (claims processing), and how programs communicate and outreach to the public (marketing). This means that discriminatory eligibility criteria, denial or delay of claims for protected groups, and outreach or marketing that excludes or disadvantages protected classes are all prohibited. That breadth is why including all three areas—eligibility, claims, and marketing—is the best answer.

Under ACA Section 1557, the protection against discrimination applies across multiple touchpoints in how health programs and activities operate. The law requires nondiscrimination in who can access an program (eligibility), how services and payments are handled (claims processing), and how programs communicate and outreach to the public (marketing). This means that discriminatory eligibility criteria, denial or delay of claims for protected groups, and outreach or marketing that excludes or disadvantages protected classes are all prohibited. That breadth is why including all three areas—eligibility, claims, and marketing—is the best answer.