"There are two Affordable Care Acts. There's the legislation passed by Congress in 2009, and then there's the mythical Affordable Care Act – the perfidious 'government takeover' decried and demagogued by so many conservatives (and quite a few liberals). The former is quite popular, the latter gets decidedly mixed reviews."
ACA Regulatory Costs
"The ACA's $27.6 billion in new regulations represent a cost floor, and not a ceiling to implement the ACA. Most private entities will feel these costs and $7.2 billion of the added regulatory burdens fall directly on state budgets. Of AAF's findings, five states will bear at least $1 billion in new regulatory costs as a result of the Affordable Care Act.
The five states bearing the largest regulatory burden in cost and lost employment are not surprising. California has the single highest burden, with $3.4 billion in total compliance costs and 2,917 lost employees' work. Texas also bears a substantial burden: $1.8 billion and 1,292 lost employees' work. New York ($1.7 billion and 1,383 lost employees), Illinois ($1 billion and 816 lost employees), and Florida ($1.6 billion and 978 lost employees) also carry a heavy burden.
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