What the ACA Delays Mean

Alexandra Blumer; Rachel V. Thakore, BS; A. Alex Jahangir, MD; Hassan R. Mir, MD; and Manish K. Sethi, MD

The Patient Protection and Affordable Care Act (ACA), signed into law in 2010, will change the U.S. healthcare system more than any other legislation since the Social Security amendments that created Medicare and Medicaid in 1965. The ACA promises all Americans access to affordable medical coverage. Although several aspects of this law have already been implemented, many more changes are still to come.

In 2014, some of the most significant provisions of the ACA—including the employer insurance mandate, the individual mandate, and the implementation of state-based health exchanges—are planned to take effect. However, on July 2, 2013, the Obama administration announced some delays in the implementation of several provisions under the ACA. This article will investigate the ramifications of these delays on the American healthcare system and discuss their impact on orthopaedic surgeons.

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