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As part of health-care reform and prior tothe Supreme Court’s decision in June 2012, the Patient Protection and Affordable Care Act(ACA), was signed into law on March 23, 2010.17 The ACA began making changes to the cur-rent health-care system in 2010 with additional changes occurring over the next decade (referto the timeline website below, for more information). Their new stateof consciousness is described as nothing short of transforming
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