TY - GEN T1 - The ACA’s Tobacco Use Rating: Implementation, Inconsistencies and Ironies AU - Chirba, Mary Ann AU - Noble, Alice AB - As the Affordable Care Act continues toward full implementation, the law’s complexity is on full display. As we have noted in earlier writings, the ACA continues the federal tradition of using a fragmented approach to allocating oversight responsibilities among federal and state regulators, while maintaining the role of private actors in health care insurance and delivery systems. The result is a dizzying array of plan types (self-insured, fully insured, small market, individual market, large market, grandfathered) subject to an equally dizzying blend of ACA, ERISA, and individual state requirements. DA - 2013-5-16 PY - 2024 PB - unav JO - HealthLawProf Blog ER -