erage of essential health benefits, and free preventive care, among others. This portion also included provisions implementing pilot and demonstration projects aimed at exploring new payment and care models such as accountable care organizations or bundled payments, and new care coordination models for dual Medicare-Medicaid eligibles and other populations. Last were a number of additional provisions-such as increased funding for community health centers and incentives for states to continue rebalancing their Medicaid long-term care spending toward home and communitybased services-also intended to improve the availability of health care and its alignment with need (for summaries of ACA provisions, see American Public Health Association 2012; Kaiser Family Foundation 2013). Viewed narrowly, a primary focus of the law was to extend health insurance to the approximately forty-nine million non-elderly individuals who were uninsured in 2010 (DeNavas-Walt, Proctor, and Smith 2012). Although determining exactly how much of the ensuing increase