President Obama's re-election ensures the survival of his Patient Protection and Affordable Care Act, but it doesn't mean the law stays without continuing challenges.

Republican challenger Mitt Romney had vowed to repeal the law if elected, calling it a costly government expansion though the massive law was partly based on his own health care reform in Massachusetts.

"President Obama's re-election provides American employers with the referendum to fully begin implementing the Affordable Care Act," says International Foundation of Employee Benefit Plans CEO Michael Wilson. "Even after this summer's Supreme Court ruling, many of our members were still awaiting the outcome of this general election before they addressed health care reform."

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