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Health Care Reform Becomes Law

On March 23, 2010, President Obama signed into law the Patient Protection and Affordable Care Act (H.R. 3590). One week later, he signed the Health Care and Education Reconciliation Act of 2010 (H.R. 4972). Together, these laws represent the most sweeping health care reforms in U.S. history. The laws dramatically expand coverage and provide important consumer protections. They also expand Medicaid and make numerous Medicare payment and policy changes. Last, but not least, they invest billions of dollars in prevention and wellness programs, boost physician, nurse and direct care worker education, and significantly increase the government's capacity to fight fraud and abuse.

This memorandum describes the most important reforms for individuals with brain injury and explains the critical role played by the Brain Injury Association of America (BIAA) in the legislative process. A detailed analysis of H.R. 3590, as amended, is available from BIAA's Web site at


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