Arthur J. Gallagher & Co.’s CEO says the Patient Protection and Affordable Care Act has created a demand for services from clients and an increase in acquisition targets, as small-benefit agencies find they can’t handle client demands and need to partner with someone who can.

CEO Patrick J. Gallagher says, “We are running hard” as the PPACA is keeping the firm busy with “new clients, prospects and mergers.” Many businesses, he says, “are just waking up to the reality that this act is going in place in 2014, and frankly, they’ve failed to prepare.”

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