You will submit a research paper on federal and state level health reform initiatives at the end of Module 4. Your research paper should include the following:

1. Describe a federal health care reform initiative undertaken in the past decade. It may be the Patient Protection and Affordable Care Act or another federal reform. Describe what this reform initiative is, the intent of this initiative, and the current state of federal reform.

2. Broadly describe how this federal health care reform initiative has been implemented in your state of residence.

3. Then provide an in-depth description of one state-level reform emanating from the federal reform initiative that you have selected. Address how this state reform initiative has impacted your states health care delivery system in regards to cost and access to both health and public health services.

4. As you write this research paper, incorporate information using the perspective of your degree program (public health, health sciences, or nursing) or current/planned discipline.
This is a formal research paper. Your paper must include the following resources:

At least two credible Excelsior College Library articles (current, peer reviewed, and directly related to the state/federal reform initiative)
At least two credible governmental or policy websites, including at least one state-level web resource directly related to the state-level implementation you are discussing