One has absolutely NOTHING to do with the other. Leave it to Nina to conflate the 2.

[Hortensis]

54. NOPE! The ACA establishes and protects NATIONAL HEALTHCARE RIGHTS,

AND STANDARDS AND SERVICES THAT WERE NOT PROTECTED IN LAW BEFORE. The new standards cover treatments, physicial office procedures, medications, devices, recordkeeping, and much else. In various ways the ACA benefits EVERYONE who buys insurance and/or who is treated in this country, not just those who purchase through the exchanges.

Although only policies sold through the ACA require the 10 ESSENTIAL COVERAGES that were not guaranteed and often scamped before, it set a standard for workplace and other policies as well.

Remember the "10 essential coverages" the ACA required? These are them. Before the ACA, MANY policies did not provide coverage for any or almost all of these below. The ACA raised national standards for coverage ENORMOUSLY. And Republicans howled at the severe blow to the junk-policy industry.

(Imagine, there were "insurance policies" that didn't cover doctor office, ER, AND/OR hospital visits!)

What Are the 10 Essential Health Benefits?

Ambulatory patient services. This is the outpatient care, from doctor’s visits to same-day surgery, that you receive without being admitted to a hospital.

Emergency services. Insurance companies cannot charge you more for going to an out-of-network hospital’s emergency room in the case of a true emergency, such as a suspected heart attack or stroke,6 nor can they require prior approval for emergency room visits.

Hospitalization. This benefit includes surgery or other overnight, in-patient stays at a hospital.7
Pregnancy, maternity, and newborn care. Insurance must cover medical services for you and your child, both before and after birth, as well as the cost of the delivery itself. Insurers must also cover birth control and breastfeeding services.

Mental health and substance use disorder services. Behavioral health treatment, such as counseling or psychotherapy, is a part of this benefit.

Prescription drugs. While insurers don’t cover all drugs, they must offer a formulary (approved list of medications) for which they’ll pay a portion of the costs.10 The government has categorized approved drugs, and insurers must cover at least one drug from each category. You can find a list of the medicines that your insurer covers by visiting its website.

Rehabilitative and habilitative services and devices. This benefit includes devices or services aimed at helping people with chronic conditions, disabilities, or injuries regain or improve skills.

Laboratory services. Coverage includes tests that doctors might run to aid in diagnosis.
Preventive and wellness services and chronic disease management. Preventive and wellness care covers routine doctor’s visits, such as annual exams and vaccinations. If you get preventive health services, such as a pap test, from an in-network provider, their services are free. However, not every service that you receive at a checkup is covered, so check your benefits before you go.

Pediatric services. In addition to the above benefits, children’s benefits must include vision and dental care.