The Affordable Care Act still remains in force despite changes made to the law. Under the ACA, individuals must have qualifying health insurance by April 1, 2014 or pay a penalty. The 2014 penalty is 1% of taxable income or $95 per adult, up to $285 per family. Exceptions apply for financial hardship, religious objections, or if insurance costs more than 8% of income. Insurers can no longer deny coverage or increase premiums due to pre-existing conditions under the ACA.