The last year has been a wild ride in Washington, D.C. Especially for healthcare. An unprecedented administration. A Congress that operates with even more partisanship than before the 2016 election. Lots of legislative activity but little to show for it.

The Affordable Care Act (ACA) is still with us despite several attempts at repeal by the Republican Party. Yet, healthcare in America is not free from legislative peril as the year draws to a close.

• Will ACA be repealed, replaced or repaired in 2018?
• Where are the state exchanges headed?
• What does the last year mean for the upcoming mid-term elections?
• What states are considering legislation that could impact our business sectors?