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=='''Conclusion'''==
Uncertainty surrounding surrounds the effects effect of the ACA on small businesses remains because of the many delays and exemptions in the rollout process and implantation of the ACA’s mandates and provisions. Extrapolating from Considering the status quo and general trends of the health insurance market, the ACA seems it will likely turn out not to be the “job-killer” or “enemy of small business” it was predicted to be. And largely, while insurance premiums will continue to rise for the firms, which have to provide employer-sponsored health insurance to its employees, the bill should not seriously harm small businesses and startups with fewer than 50 full time equivalent employees.
In fact, the head of the CBO Douglas Elmendorf said, “We don’t think that the healthcare law is having a significant impact on the economy today… It would reduce the amount of labor used in the economy by about a half a percent at the end of the decade… but, most of that is people choosing not to work because they can obtain health insurance at an affordable price outside of the workforce” [http://obamacarefacts.com/obamacare-small-business/]. John Arensmeyer, founder and CEO of the Small Business Majority, in a statement reported by Fox News, said that
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