Bloomberg, May 28, 2013

While politicians in Washington argue over the Affordable Care Act, its ultimate fate is being decided far from Capitol Hill. Amid the periodic repeal votes in Congress and activist campaigns on both sides of the debate, states from New York to California are striving to meet an Oct. 1 deadline to implement the heart of the health-care law, the online insurance "exchanges" meant to enroll millions of Americans. The law has already had a major impact on U.S. health care since its passage in 2010. Millions of young adults up to age 26 have received coverage under their parents' policies, seniors are receiving expanded drug coverage and hospitals are experimenting with incentive programs designed to improve care and cut costs.

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