President Barack Obama signed the Patient Protection and Affordable Care Act (H.R. 3590) into law on March 23, 2010. This law is being proclaimed by many to be the most significant health reform legislation passed by congress in generations. The monumental bill is expected to bring down health care costs for American families and small businesses, expand coverage to millions of Americans and end bad practices of insurance companies. So how does this legislation impact West Virginians and more specifically West Virginia’s practicing physicians? The information below is a compilation of information obtained from a variety of sources including the American Medical Association (www.AMA-Assn.org) and the Department of Health and Human Services (www.HealthReform.gov).