No Export for You: Was once the case for the game's full soundtracks, which didn't get an international release, physical or digital, until 2012. The only thing the states ever got until then was some music sampler CD's containing some of the third-party tracks.
Health care reform requires employers to notify their employees in advance of certain coverage changes. Some Patient Protection and Affordable Care Act (PPACA) regulations will require employer group health plans or their health insurance issuers to notify their members of certain coverage changes.
For example, if you change plans, the insurance carrier can't impose exclusions as long as you don't allow the baby to go without coverage for a significant length of time. In insurance-speak, significant means a period longer than a minimum of 63 days.