 Under the Patient Protection and Affordable Care Act of 2010, the effect of the "Donut Hole" coverage gap was to be gradually reduced through a combination of measures including brand-name prescription drug discounts, generic drug discounts and a gradual increase in the percentage of out-of-pocket costs covered while in the donut hole.The "Donut Hole" will continue to exist after 2020 but its effect will be changed in some way yet to be determined, because plan administrators must treat out of pocket costs below the catastrophic level the same whether or not the insured is in the donut hole or not.That is, under the "standard benefit" design all prescriptions in all tiers could be subject to a 25% co-pay whereas as of 2014 many drugs in Tier 1 are available with no co-pay.