A report on the economic and fiscal consequences of the Patient Protection and Affordable Care Act (PPACA; Public Law 111-148), signed into law by President Barack Obama on March 23, 2010, and the Health Care and Education Reconciliation Act (Public Law 111-152). Several rationales were offered in support of this legislation, including that it would lead to the creation of jobs and the reduction of the federal budget deficit. This report shows that the health care law will achieve neither effect, and argues that the health care law will cause significant job losses for the U.S. economy. Produced by the Republican majority in the U.S. House of Representatives. Charts and tables. This is a print on demand edition of an important, hard-to-find publication.