Neurology and the Affordable Care Act The Affordable Care Act is reshaping US health care.

Major expansions in access have allowed millions of Americans togainhealth coverage.Newmodels of care delivery andpayment are leading to fundamental shifts inoutpatientand inpatient treatment.As specialists and diagnosticians, neurologists should understand the ba-sics of this legislation and take advantageof opportuni-ties on behalf of patients. As a result of the Affordable Care Act, more Ameri-cans than ever are covered by health insurance. As of March 2015, 28 states and theDistrict of Columbia have expandedMedicaid to cover families with income up to 133%of the federalpoverty line.All statesarecoveredby insurance exchanges that offer access to subsidized pri-vatecoverageupto400%ofthepoverty line.From2012 to 2014, millions of Americans have taken advantage o