To be technical about it, the following comes from the
Federal Register PDF, Vol. 81 Wednesday, No. 96 May 18, 2016 AD, Part IV, Department of Health and Human Services, Office of the Secretary, 45 CFR Part 92, Nondiscrimination in Health Programs and Activities; Final Rule, RIN 0945–AA02, Nondiscrimination in Health Programs and Activities, Office for Civil Rights (OCR), Office of the Secretary, HHS, Final rule—got it?
Obamacare
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