ABSTRACT

America’s health care system is undergoing one of the most significant transformations in its history. After extensive health care policy debates of the 1990s and 2000s, significant health care reform legislation (The Patient Protection and Affordable Care Act-now routinely identified as The Affordable Care Act) was passed in 2010. Almost all of the legislation survived constitutional challenges in 2012 and 2013. Both implementation of the Act and efforts by congressional Republicans to overturn passage or strike down parts of the Act continue.