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The Affordable Care Act Is Working. Share on Facebook Share on Twitter. It is now four years since the Affordable Care Act was enacted. And in more than 30 years in government, Iâve never seen a law get so little recognition for doing so much good so quickly.
Much of the implementation and enforcement of the health reform law, also known as the Affordable Care Act, will fall to states. As a. result, states have a critical role to play in the ongoing health reform effort, by acting as system innovators and implementing newly. enacted federal reforms.