Executive Home Care CEO Lenny Verkhoglaz said he sees the Affordable Care Act as a double-edged sword because it will increase demand for his home health care business while the law's employer mandate will cause problems for him as a small-business owner with more than 50 employees. "Home care specifically is very labor intensive. If we don't hire we can't provide services. So do we have to stop hiring and stop growing? I don't think so ... but at the same time, we will be penalized for that," he said.