How Our Health Care System Is Changing
These are among the many ways that implementation of the ACA is changing the U.S. health care system. Starting Oct. 1 and running through March 31, Americans will be able to sign up for new ACA-compliant policies directly from an insurer or through a state or federal marketplace.
health care system change way implementation aca change  USA  health care system start oct run march americans able sign new aca compliant policy directly insurer state federal marketplace