My Comments: Ted Cruz notwithstanding, the implementation of the PPACA is going to be confusing and there are going to be folks lost in the shuffle. This legislation is a BIG DEAL, one that I’m persuaded was absolutely necessary and one that my 3 year old grandson will accept as normal when 20 years from now he is hopefully part of the 21st century workforce.

Today, one of my children is in his early 40’s and has no health insurance. That’s not a BIG DEAL today, but none of us has a contract with God to be here tomorrow, much less here and NOT suffering from some kind of malady. If and when that surfaces, having some health insurance is as important mentally as it is financially. I hope he finds a way to explore his options through the exchange program and take advantage of the credits that will effectively reduce his cost to a manageable level.

By Dan Cook | September 25, 2013

Uncertainty over the impact of health care reform on their businesses has created plenty of anxiety among HR managers and those in the C-Suite.

A recent survey by ADP found almost half of large-company finance managers aren’t fully confident that they understand their responsibilities under the Patient Protection and Affordable Care Act. At small companies, the study found, just 28 percent of those surveyed have developed any sort of plan for controlling their health benefits costs in the wake of health care reform. At large companies, that percent rose to 40 percent — still not very confidence-inspiring.

Executives know reform is going to rock their boat. When asked by ADP whether they thought the public insurance exchanges would have an impact on their company, half of small company respondents thought it would, while nearly 70 percent of large companies responded affirmatively.

To help employers get a better handle on the act’s requirements, ADP has come up with following recommendations for coping with health care reform.