“There is growing concern that the substantial infrastructure necessary for successful implementation of the
PPACA’s primary provisions will not be ready by 2014. Moreover, there are serious legal challenges to the law still
pending. Finally, significant political disagreements exist over the merits of many PPACA provisions; these are likely
to be debated extensively in the 2012 election season. Consequently, there is growing interest in delaying further implementation of the law until the operational, legal, and political concerns can be settled. In this short note, we explore the budgetary implications of delaying the implementation of the PPACA for 2, 3, and 4 years.”