follows the development of government guidance related to the Affordable Care Act


The Affordable Care Act (ACA)[1] makes sweeping changes to healthcare law for individuals, businesses, state and local governments, and insurers.

The Health and Human Services (HHS), Treasury, and Labor Departments oversee implementation of the ACA. Agencies within each department publish regulations for administering the law.

Federal Agencies

  • HHS: Centers for Medicare & Medicaid Services
  • Treasury: Internal Revenue Service
  • Labor: Employee Benefits Security Administration

Some provisions of the ACA are under the jurisdiction of all three agencies. When an agency has sole jurisdiction over a statute, it may still seek input from other agencies due to the links between different parts of the law.

The agencies publish informal guidance in addition to regulations. These publications can seek public opinion on approaches the agencies are considering and announce agency positions without going through formal rulemaking procedure.[2]

  1. The term ACA refers to the Patient Protection and Affordable Care Act as amended by later legislation. The Health Care and Education Reconciliation Act of 2010 amended the Patient Protection and Affordable Care Act soon after it was enacted. A PDF of the result is available from the House of Representatives here, though the ACA has since been amended further.  ↩

  2. For example, the Employee Benefits Security Administration maintains a website containing questions and answers that provide guidance on a variety of topics.  ↩