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What the Patient Protection and Affordable Care Act Means for Entrepreneurs

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This story appears in the May 2014 issue of Entrepreneur. Subscribe »

In a field dominated by franchises and mom-and-pop services, Ron Holt's business is an anomaly. In little more than a decade, his residential cleaning company, Birmingham, Ala.-based Two Maids & A Mop, has grown to 12 affiliate locations across five states. His goal is to create a national chain of providers.

In 2012 Holt was in the midst of opening his 13th location in Raleigh, N.C., when he learned about the impact the Patient Protection and Affordable Care Act (PPACA), commonly known as Obamacare, would have on his 160-employee business. Because he has more than 50 full-time workers, he'd now have to provide them with health insurance--not common in his industry. The mandate would cost his company as much as $300,000.

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