ACA Small medical practices are those characterized by limited staff and a small patient base. There can be subdivided into two subtypes: solo and group practices. The former model presupposes no partners or interactions with other organizations. It was more popular in the past; however, such practices are still preferred by people who would like to develop personal relationships with their doctors. The latter type of practice is further subdivided into single- and multi-specialty practices providing one or several types of care correspondingly. Despite being rather flexible and autonomous, both types of small medical practices are subjected to risks arising from the introduction of new health care policies (Sommers, Kenney, & Epstein, 2014). The Affordable Care Act (ACA), signed on March 23, 2010, was meant to bring about drastic transformations of medical practices in terms of finance, technology, and services with an ultimate goal to make health insurances affordable for people with low income (Sommers et al., 2014). Type of Organization (Small healthcare practice) Since the time the ACA was passed, a lot of small health care practices have lost patients, which gives a good reason to suppose that the independent small practice model will be largely replaced. Most private physicians will be forced to unite with other specialists or start working for large hospitals to be able to continue their practice. In comparison with the state of things prior to the ACA, physicians’ legal compliance obligations have increased dramatically. The demands have become hard to satisfy as physicians currently have to provide high-quality care to more patients at lower costs. Reporting and tracking create additional pressure, which makes many small practice specialists quit the profession (Sommers, Buchmueller, Decker, Carey, & Kronick, 2013). Hiring Practices Practice, Certification, Licensure Unlike large hospitals, where a great number of jobs have been created with the introduction of the ACA, small practices, on the contrary, have suffered job extensive job elimination. Research reveals that the number of physicians who run their own practice (solo or in a group) has decreased from 57% to 33% since 2000. According to recruiting firms’ statistics, only 2% of search assignments last year were on behalf of small practices (as compared to 42% before the ACA was passed). As a result, physicians running small practices quit their jobs to find protection in large hospitals (Miller, Frogner, Saganic, Cole, & Rosenblatt, 2016). There they are offered incentive payments if they take part in a qualified Maintenance of Certification Program. However, licensure changes mostly affected nurses. Their license is not insufficient for independent practice: 21 states allow only reduced practice in cooperation with a physician while 12 states demand physicians’ supervision (Antwi, Moriya, & Simon, 2015). Professional Development and Training The job loss and shortages of physicians and nurses continue also owing to the fact that the reform fails to provide sufficient funding for professional development and training. General medical education of physicians is still funded in many states through Medicaid program but the sums are significantly smaller than before. Educational programs providing training to physicians who run their own small practice are numerous but there are practically none funded by the