Which act amended the PPACA to include tax credits for small businesses?

The Health Care and Education Reconciliation Act is the legislation that amended the Patient Protection and Affordable Care Act (PPACA) to introduce tax credits aimed at small businesses. This act was signed into law in March 2010, shortly after the passage of the PPACA itself. The inclusion of tax credits was designed to assist small businesses in providing health insurance coverage to their employees, thereby making it more affordable for them to offer these benefits. These credits can significantly reduce the cost of health insurance premiums based on the size of the business and the number of employees, promoting broader health coverage among small enterprises.

The other options presented do not relate to the PPACA's tax credit provisions or small business health insurance. The Gramm-Leach-Bliley Act primarily focuses on financial services regulations; the Health Insurance Portability and Accountability Act is centered around protecting patient information and ensuring privacy; and the Balanced Budget Act deals with Medicare and Medicaid and does not pertain to small business health insurance credits. Hence, the Health Care and Education Reconciliation Act stands out as the correct choice for this question.