Which of the following is NOT an insurance reform introduced by the ACA?

The assertion that the elimination of all deductibles for insurance plans is not an insurance reform introduced by the Affordable Care Act (ACA) is accurate. Under the ACA, while there have been significant changes to health insurance coverage and access, including the prohibition of denying coverage based on pre-existing conditions and the establishment of health insurance marketplaces, the ACA did not eliminate deductibles altogether.

In fact, health plans under the ACA often include cost-sharing measures, including deductibles, coinsurance, and copayments. These features are designed to help manage costs and encourage consumers to use healthcare services judiciously. The ACA did, however, require certain essential health benefits to be covered at no cost (within network) after reaching the deductible in many cases, but it did not remove the concept of deductibles entirely from insurance plans.

In contrast, eligibility expansion for medical benefits and the establishment of marketplace exchanges were key provisions of the ACA aimed at broadening access to healthcare while promoting competition among insurers. This focus on increased access and consumer choice is a primary tenant of the ACA's reforms.