The affordable healthcare act is new and the ramifications are largely unknown. As with everything, there are likely to be unintended consequenses. There are IMO, some very necessary reforms in this massive act, which was, in total, the veritable "horse designed by committee". There will be many changes made and amended as time goes on, and some of the provisions will likely disappear - that is the way things work. It may be struck down if Romney and the republicans win in November, but some of the provisions will pop back up because they are right.