Confused about what is in the Patient Protection and Affordable Care Act of 2010 and how it will be implemented? While the Act’s four major components — market reforms, state health insurance exchanges, Medicaid expansions, and employer and individual responsibility provisions — do not take effect until January 1, 2014, other aspects of the legislation have already taken effect or will be soon. Two resources for information are the Kaiser Health Reform Gateway, sponsored by the Kaiser Family Foundation, and Health Reform GPS, a joint project of the Robert Wood Johnson Foundation and George Washington University's School of Public Health and Health Services.