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Aca a brief overview of the law implementation and legal challenges congressional research service summary in march 2010 the 111th congress passed health reform legislation the patient protection and affordable care act aca pl 111 148 as amended by the health care and educationaca a brief overview of the law implementation and legal challenges showing 1 4 of 11 pages in this report pdf version also available for downloadnote citations are based on reference standards however formatting rules can vary widely between applications and fields of interest or study the specific requirements or preferences of your reviewing publisher classroom teacher institution or organization should be appliedaca a brief overview of the law implementation and legal challenges july 3 2012 open pdf 210 kb in march 2010 the 111th congress passed health reform legislation the patient protection and affordable care act aca pl public law 111 148 as amended by the health care and education reconciliation act of 2010 hcera pl 111 152 and other lawsaca a brief overview of the law implementation and legal challenges congressional research service the 111 th congress passed major health reform legislation the patient protection and affordable care act aca pl 111 148 which was substantially amended by the health provisions in the health care and

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