I've just started at <a href=" http://www.servicedesignmaster.com/paxil-10-mg-effective.pdf#depart ">paxil make you tired</a> The ACA is the 2010 healthcare reform law often calledObamacare. None of its provisions require people to buyinsurance offered by their own employer rather than a spouse's.Nor does it require large employers to offer spousal coverage.