This presentation discusses the Patient Protection and Affordable Care Act (PPACA), also known as Obamacare, and its impact on health care organizations. It covers the expansion of health insurance coverage, reduction in Medicaid Disproportionate Share Hospital (DSH) payments, increase in demand for health care, and decrease in the cost of uncompensated care. The presentation also talks about the types of organizations affected by PPACA, penalties for non-compliance, and challenges faced by patients, health care industry, and human resource employees. References are included at the end.