A guide to the major provisions of the Affordable Care Act (ACA) requiring attention in 2012 and 2013. Provisions discussed include: summaries of benefits and coverage (SBCs); comparative effectiveness fees; quality of care reporting; W-2 reporting; administrative simplification; health flexible spending account (FSA) limits; loss of Medicare Part D subsidy deduction; increase of the Federal Insurance Contributions Act (FICA) Medicare tax rate; notice of state insurance exchanges; and automatic enrollment.