This document outlines a study to analyze the impact of the Affordable Care Act (Obamacare) on emergency room utilization rates and primary care visits for influenza and strep throat. The study will statistically analyze trends in ER and inpatient encounters over time and compare hospitals based on type and patient payer. It will examine data from specific regions to determine if ER visits and inpatient rates increased under Obamacare and the impact on primary health care.