Cities and the Affordable Care Act (ACA)

As employers, local governments will soon be responsible for ACA implementation in cities and towns across America. This site provides useful resources to help cities take the steps necessary to properly implement the law and inform citizens about how the ACA may impact them.

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    The Affordable Care Act and Your City – Helping Residents Help Themselves.

The Affordable Care Act and Your City – Helping Residents Help Themselves 


On Wednesday, August 28, from 2 - 3 p.m. ET, NLC and the U.S. Department of Health and Human Services will host a learning session on the Health Insurance Marketplace and SHOP, with information on how elected officials can help residents and small businesses obtain the health care coverage they need. To register, click here.  

The learning session will include:

  • How elected officials can help their constituents and smaller businesses obtain health insurance;
  • How the Health Insurance Marketplace and SHOP will work;
  • Information about subsidies for individuals who need health insurance but whose incomes are too low to afford it; and
  • Basic information every American should have about the Affordable Care Act.

What the ACA's Cadillac Tax Will Mean for Every City and Town


Over the past several weeks, there has been increasing concern expressed about the Affordable Care Act's excise tax, more commonly referred to as the "Cadillac" tax. This blog post provides city and town officials with simple and straightforward information about what it is and what it means for your city and town. Read more...

  • What does the Affordable Care Act's excise (Cadillac) tax mean for every city and town?
  • What should every city and town know about the excise tax?
  • What should my city or town do to prepare for the excise tax?

Learn to Provide Your Residents with Help Enrolling in the Affordable Care Act

Every city and town in America can become what the U.S. Department of Health and Human Services is calling a Certified Application Counselor (CAC) organization. In simple terms, this means that staff of your city or town can be trained and certified to help residents apply for and receive benefits under the Affordable Care Act (ACA). Read More...

The Health Insurance Marketplace is Coming: Enrollment Starts October 1, 2013 

No doubt you've been hearing about the new Health Insurance Marketplace, a key part of the health care law. But you probably still have questions.  Can it really help my constituents get affordable health insurance? What does it mean for small businesses in my community? Here are some answers. Read more...