The Patient Protection and Affordable Care Act is the most significant federal law addressing healthcare since the Medicaid and Medicare act of 1965. It has been accompanied by controversy that focuses on several important issues including the obligation of Americans to purchase health insurance and alterations to the manner in which providers of healthcare services will be reimbursed. Overall, the new law is one which provides comprehensive reform to a health system that is expensive, and significantly riddled with waste fraud and abuse. NFRPP will from time to time provide factual information on the Affordable Care Act to provide a broad picture of its structure and to illuminate certain of its features that are important to providers and consumers alike.