How many are there in a book? flagyl suspension 250 mg/5 ml Passed by Democrats in 2010, the ACA aims to provide access to affordable health insurance to all Americans. It includes a provision that all Americans have health insurance by Jan. 1, 2014 or pay a penalty. Republicans have been pushing for the law's repeal and short of that a delay of the mandate. While the Obama administration granted a delay to companies who will eventually be required to offer health insurance to their employees, it refuses to budge on the individual front.