The letter, pertaining to the Affordable Care Act and available at the link below, is written by the Secretary of Health and Human Services and was issued to the 50 state governors. It was issued after the Supreme Court’s 5-to-4 ruling that the new law is constitutional. A key thing to remember about this law is that small businesses with fewer than 50 employees are exempt from many provisions of the law.
Larry Innis
MRAA Legislative Affairs