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Try this.
The ACA provides financial assistance for health insurance coverage.
As a general rule, you can't use federal funds to pay for abortions. Therefore, the financial assistance provided under the ACA can't be used to purchase abortion coverage.
Some state laws require health insurance to cover abortions.
The ACA was written to not interfere with state regulation of abortion.
In order to comply with state rules that require health insurance funds to cover abortion and federal rules that prohibit funding of abortions, the administrator of the ACA must do some fancy accounting to segregate funds to cover abortions from federal funding for other health coverage.
The statute requires actuarial studies to determine the actual cost per participant for providing abortion coverage, and funding from other sources must be at least enough to cover abortions in those states that require health insurance to cover abortions. The minimum amount that must be segregated per participant is one dollar.
Put more simply, section 1303 outlines the gyrations that congress went through to make sure that no one who voted for the HCA had so say that he or she voted federal funds for abortions.
But - the section is also an example of including some federalism in the statute, because all of those gyrations are necessary to not override state regulation of abortion funding.
Regards,
D-Ray
P.S. Blue, it took more than one lawyer to write that monstrosity.
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Then I'll get on my knees and pray,
We won't get fooled again; Don't get fooled again
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