Workers can opt out and as an alternative obtain coverage from their state's insurance exchange. The PPACA standards will considerably affect industries that employ part-time, provisional, seasonal and float-pool workers at length (Clarke, Keckley & Kraus, 2012). A hospital will have to look at whether hiring part time employees and float pool workers will still be beneficial for them or if they will need to go to only having full time employees.

The PPACA includes a grandfather clause for employer plans that are already in place as of the date the act goes into effect. With the exemption of some insurance reforms employer plans that already exist on the date of enactment will not have to be altered to meet the terms with other parts of the PPACA. This will be a vital issue for businesses as they consider the effects and costs of other requirements, because loss of grandfather...
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