Doughnuts? Donuts?

http://www.ncbi.nlm.nih.gov/pubmed/21247308

N Engl J Med. 2011 Jan 19. [Epub ahead of print]
Time to Fill the Doughnuts - Health Care Reform and Medicare Part D.

Shrank WH, Choudhry NK.

From the Division of Pharmacoepidemiology and Pharmacoeconomics, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston.
Abstract

The passage of the Affordable Care Act (ACA) in March 2010 promised to put an end to the "doughnut hole," the gap in prescription-drug coverage that is the most controversial component of the Medicare Part D benefit.(1) Several months ago, seniors who had reached the spending threshold that marked the beginning of their doughnut hole began to receive their $250 rebate checks. Incrementally between now and 2020, the coverage gap will be filled with subsidies from manufacturers of brand-name drugs and from the federal government. Thus, the ACA, like Part D itself, has expanded coverage for prescription medications - but . . .