Guam - Before the Guam Contractors Association today was a presentation from TakeCare's chief operations officer Jeffrey Larsen on the Patient Protection and Affordable Care Act more commonly referred to as Obamacare.

He said, "Guam has not established an exchange to facilitate the purchase of qualified health plans by individuals and small employer groups, and second Guam has no Medicaid matching money to fund the matching federal money afforded by the PPACA as such it's not likely Medicaid will be expanded anytime soon. So what does that mean? You're essentially left with the same options that you're left with today."

Larson also spoke on mandated benefits under Obamacare, the essential health benefits necessary for small and individual groups and other provisions effective on January 2014.