The California HealthCare Foundation (CHCF), in a report authored by Manatt Health Solutions, provides an initial assessment of the task that lies ahead for the state of California and its partners in implementing the coverage-related provisions of federal health reform legislation, known collectively as the Affordable Care Act (ACA) of 2010. With an implementation timeline that spans nearly a decade, the new law will fundamentally alter the availability and structure of health insurance, bringing coverage for the first time to millions of Americans and creating new coverage options for millions more.