The Affordable Care Act is one of the most far-reaching laws in American history and is likely to affect almost all Americans in one way or another. It is also one of the most complicated laws, with repercussions that were little understood or appreciated at the time Congress passed it in 2010.
Three years after its passage—and almost 18 months after it was largely upheld by the U.S. Supreme Court—it remains the subject of enormous division in the country, with many Republicans still hoping to stop it.
These Stateline stories help explain developments in the leadup to the Jan. 1 implementation of the most sweeping provisions of the law: the expansion of Medicaid eligibility (or not, in states that said “no” to expansion) and benefits for those who buy insurance on the new health insurance exchanges. Those exchanges open for business Oct. 1.