A Commonwealth Fund study finds wide disparities in how states have been implementing provisions of the Patient Protection and Affordable Care Act (PPACA), with Arizona having done the least.  Twelve states have implemented laws or regulations addressing the 10 reforms in the Patient's Bill of Rights. The District of Columbia and 11 states have implemented regulations on at least one provision of the act. 

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A Commonwealth Fund study wide disparities in how states have been implementing provisions of the Patient Protection and Affordable Care Act (PPACA), with Arizona having done the least.