This Health Care Reform (HCR) Implementation Guide is offered to assist County Human Services Directors to plan for changes in programs and service delivery as a result of the federal Affordable Care Act (ACA), signed into law on March 10, 2010.

• ARE YOU READY? - A Guide to Implementation of Health Care Reform for California County Human Services Departments. Second edition released April 3, 2013
• County Plan Template — Attachment A
• CMS List of Questions in the Online Application — Attachment B1
• Draft Single Streamlined Application — Attachment B2
• Sonoma County's Mandatory Time Off Communication Plan — Attachment C