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The inclusion of such far‐reaching provisions related to quality and safety in the ACA has been made possible largely because of the efforts over several decades of health care industry stakeholders who worked to identify the barriers and build multiple supportive alliances, leading to addressing the issues through policies at every level. As by‐products, professionals in the health care industry became educated about quality principles, and consumer awareness of the complexities of health care systems was raised. The following sections describe how powerful such efforts have become.