Remember that landmark Supreme Court case last year thatruled the Patient Protection and Affordable Care wasconstitutional, changing the country’s health care system foreveras we know it?

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Well, a big chunk of Americans don’t.

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Four in 10 Americans (42 percent) are unaware PPACA is still lawand is being implemented, according to a poll by the Kaiser FamilyFoundation.

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Of that percentage, 12 percent believe the law has been repealedby Congress, 7 percent believe it’s been overturned by the SupremeCourt and 23 percent say they don’t know enough to say what thestatus is.

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Kaiser’s latest tracking poll is a stark reminder that Americansremain confused, or completely unaware, about the implications ofPresident Obama’s health care law. The news likely isn’t good forthe administration, which has set to work on a heavy marketingcampaign to raise awareness of reform just months before openenrollment in new exchanges begin.

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Though confusion surrounding the law isn’t new, it’s apercentage most had hoped would have chipped away by now, as themain pieces of reform are set to begin in 2014.

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Open enrollment begins Oct. 1, and the exchanges are set to openin January 2014. Just how enrollment plays out will be a major partof how reform’s success is measured.

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Worse yet, according to Kaiser’s poll, the share of the publicthat says they lack enough information to understand how the PPACAwill affect their family is higher among the two groups the law islikely to benefit most—the uninsured (58 percent) and low-incomehouseholds (56 percent).

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The bleak poll results come shortly after top Democratic senatorMax Baucus made headlines when he predicted a “train wreck” comingfor PPACA. In a budget hearing in April, Baucus expressed hisconcern that the exchanges for consumers and small businesseswouldn’t open on time in every state.

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Health and Human Services Secretary Kathleen Sebelius has sinceinsisted the exchanges would open on time.

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Overall, the Kaiser poll found, more Americans have a negativeperception of the law. In the latest tracking poll, 40 percent saidthey have an unfavorable view of the law, compared with 35 percentwho have a favorable view—roughly in line with past results.

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