The U.S. Supreme Court decision upholding key provisions of the PPACA means that the law's implementation will proceed, and it should serve as a wake-up call to those employers that have deferred action to comply with the act's requirements in the hope it might be invalidated. Certain provisions of the PPACA will have a profound impact on employer-sponsored group health plans, particularly the “employer shared responsibility” requirement. BNA offers a breakdown of new requirements and upcoming deadlines.