This post was written by Ferd H. Mitchell and Cheryl C. Mitchell, Thomson Reuters authors and attorney partners at Mitchell Law Office in Spokane, WA

One of the major problems facing health care attorneys today is how to deal with the turmoil of a constantly-changing health care system. This turmoil extends to every level of activity.

Rules and policies continue to be modified and to redefine the program. Technical changes in the Exchanges during Year 2 enrollment (and re-enrollment) efforts are struggling to achieve operational status. New methods of public outreach are testing public response. Adaptive efforts by all organizations in the health care system are changing the implementation pathway being followed. And political debates over state responses to the options that they face are creating additional stresses on attempts to meet operational targets. All of these changes affect client needs and options.

The Professional Development (PD) Group at Thomson Reuters is continuing to support attorneys in their adaptation to this situation. Annual book updates are available through the ACA resource page at under the tag “Affordable Care Act.”

Twice-monthly postings may be found on the blog at under the tag “ACA and legal practices.” These postings help keep materials as current as possible.

All of these materials make use of an innovative approach to understanding the reactions by health care organizations to the changes taking place, then linking these reactions to the legal problems that organizations face, and finally exploring the potential legal strategies that may be drawn upon by attorneys.

To order publications, visit the Affordable Care Act page on Legal Solutions.

Ferd H. Mitchell and his wife, Cheryl, are attorney partners at Mitchell Law Office in Spokane, WA. They are active in elder law and health law practice areas. They have been working together on programs and activities on behalf of the elderly and in health care for over 25 years. During their studies, they have visited and evaluated the health care systems of Japan and several countries in Europe to learn how the needs of the elderly are assessed and met in other countries, and they have been better able to understand the U.S. health care system and related care issues from these visits.


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