Congress remains deeply divided over implementation of the Patient Protection and Affordable Care Act (ACA), the health reform law enacted in March 2010. Since the ACAs enactment, lawmakers opposed to specific provisions in the ACA or the entire law have repeatedly debated its implementation and considered bills to repeal, defund, delay, or otherwise amend the law. This book summarizes legislative actions taken to repeal, defund, delay, or otherwise amend the ACA since it was enacted; the ACA-related language added to annual appropriations legislation by congressional appropriators since the ACA was signed into law; and all the mandatory appropriations and Medicare trust fund transfers in the ACA and provides details on the status of obligation of these funds.

This volatile, emotional issue, inherent to Southwest Florida, crosses several fields of study. To create this case study, faculty and graduate students from International College (Naples, Florida), with the help of a local Ft. Myers News-Press reporter, researched this expansive issue involving many organizations and businesses. This controversial topic encompassed all of Florida, but affected Southwest Florida tremendously. Due to the controversial nature of the issue and its effect on one community in particular, the authors decided to concentrate the case research on the City of Cape Coral and the local dock building industry. This study presents and analyzes the issue from differing sides. Key players include: Cape Coral Construction Industry Association, Florida Department of Environmental Protection, Florida Marine Contractors Association, Florida Marine Industry, U.S. Army Corps of Engineers, U.S. Fish and Wildlife Conservation Commission, and Save the Manatee Club. The case study is excellent for the classroom as it is an ongoing issue with a multitude of research opportunities.