Some of the most competitive participants in the health market in recent years have been physician-owned hospitals (POHs). These facilities provide broad consumer choice, cutting-edge innovation and equipment, high quality of care, and high patient satisfaction. This added competition from POHs has been a wake-up call for some general hospitals, forcing them to innovate to stay competitive. However, provisions in the Patient Protection and Affordable Care Act have essentially eliminated future expansion of POHs. By effectively removing this competition from the marketplace, access to high quality health care for patients will be diminished.