A serious misinterpretation of the legislation has distorted public opinion. Many people did not understand the impact the ACA would have on employers and the coverage they would be tasked with providing. Businesses that employ more than 50 workers are required to make coverage available and contribute to the costs or pay a fee; however, they qualify for the Small Business Health Options (SHOP) program and receive tax breaks to help cover costs (Reisman, 2015). Based on Reisman's research, employers who have more than 50 but fewer than 100 employees can obtain employee coverage through state insurance exchanges, and those who employ fewer than 25 full-time employees can also benefit from tax breaks to help with costs. Another common misconception was that the ACA would give illegal immigrants the opportunity to receive health care. The ACA excludes undocumented immigrants from these new coverage options and offers reduced benefits for those legally present (Shaffer, 2013). There are some parts of the Affordable Care Act that are difficult to understand or conceptualize. An example to understand how the ACA will save health care dollars in the long run when it significantly increases health care spending over the course of