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#twisting The ACA provides a call up to carry out for nurses, and various sections of the legislating are now relevant to their wreak. " Enactment of the ACA offers a myriad of opportunities for the nursing profession to facilitate improvements to the health care system and the mechanisms by which care is delivered across various settings. Systemwide changes are needed that capture the full economic value of nurses and take into account the growing body of evidence that links nursing practice to improvements in the safety and quality of care. 1 For example, sections 5501 through 5509 are aimed at substantially strengthening the provision of primary care—a need generally recognized by health professionals and policy experts; section 2717 calls for "ensuring the caliber of care"; and section 2718 emphasizes "delivery refine the price of health care reportage.