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During the policy formation process of the ACA, small business advocacy organizations, associations, and small business owners felt excluded from the process. The result of which was not only a deep-seated skepticism of the law, but legitimate concerns that the law did not do enough to address their needs. The energy and uncertainty surrounding the future of the law is an opportunity for small business stakeholders to make their voices heard and gain a long-awaited seat at the table as a way forward. 


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