The Patient Protection and Affordable Care Act (PPACA or health care reform) continues to change the landscape for employer sponsored health plans and even more so as we approach 2014 and the final phase of compliance obligations. In this session, we will discuss the last implementation requirements under the PPACA, considerations for providing health plan coverage as health care exchanges are developed and employer shared responsibility is enforced, as well as strategies for managing the resulting health plan costs while continuing to attract and retain a talented workforce.