The Patient Protection & Affordable Care Act (PPACA), commonly referred to as The Affordable Care Act and otherwise known as "Obamacare", was signed into law in 2010 and became effective January 1, 2014. As a result, the United States can expect to see an accelerated demand for and increased investment in commercial real estate, especially medical office buildings. But how the disruptions and changes resulting from Obamacare impact the commercial real estate industry? What winning strategies are investors adopting in response to healthcare reform?