The Patient Protection and Affordable Care Act (PPACA) is also known as the Affordable Care Act (ACA) or Obamacare, and is the landmark federal health reform legislation signed into law in March 2010. Much of the ACA was modeled on Massachusetts’ groundbreaking healthcare reform law of 2006. MHA engages with congressional leaders and their staffs to bring MHA’s and our members’ unique experience and perspective to the fore as the ACA is implemented, assessed and revised.