The Patient Protection and Affordable Care Act (PPACA),[1] commonly called Obamacare[2][3] or the Affordable Care Act (ACA), is a United States federal statute signed into law by President Barack Obama on March 23, 2010. Together with the Health Care and Education Reconciliation Act, it represents the most significant regulatory overhaul of the country's healthcare system since the passage of Medicare and Medicaid in 1965.[4] The ACA aims to increase the quality and affordability of health insurance, lower the uninsured rate by expanding public and private insurance coverage, and reduce the costs of health care for individuals and the government. It provides a number of mechanisms—including mandates, subsidies, and insurance exchanges—to increase coverage and affordability.[5][6] The law also requires insurance companies to cover all applicants within new minimum standards and offer the same rates regardless of pre-existing conditions or sex.[7][8] Additional reforms aim to reduce costs and improve healthcare outcomes by shifting the system towards quality over quantity through increased competition, regulation, and incentives to streamline the delivery of health care. The Congressional Budget Office projected that the ACA will lower both future deficits[9] and Medicare spending.[10] On June 28, 2012, the United States Supreme Court upheld the constitutionality of most of the ACA in the case National Federation of Independent Business v. Sebelius. However, the Court held that states cannot be forced to participate in the ACA's Medicaid expansion under penalty of losing their current Medicaid funding.[11][12] Since the ruling, the law and its implementation have continued to face challenges in Congress, in federal courts, and from some state governments. http://forums.megaxus.com/showthread.php/132381-HdNow-Watch-Hard-Knocks-S08E04-Full-OnLine-Links?p=2007828#post2007828 http://forum.iahgames.com/fifaonline2/showthread.php?p=952393#post952393 http://www.pakistanaffairs.pk/threads/54749-HdNow-Watch-Hard-Knocks-S08E04-Full-OnLine-Links?p=166602#post166602 http://forums.megaxus.com/showthread.php/132382-HdNow-Watch-Suits-S03E07-Full-OnLine-Links?p=2007829#post2007829 http://forum.iahgames.com/fifaonline2/showthread.php?p=952395#post952395 http://www.pakistanaffairs.pk/threads/54750-HdNow-Watch-Suits-S03E07-Full-OnLine-Links?p=166603#post166603 http://forums.megaxus.com/showthread.php/132383-HdNow-Watch-Pretty-Little-Liars-S04E12-Full-OnLine-Links?p=2007831#post2007831 http://forum.iahgames.com/fifaonline2/showthread.php?p=952399#post952399 http://www.pakistanaffairs.pk/threads/54752-HdNow-Watch-Pretty-Little-Liars-S04E12-Full-OnLine-Links?p=166605#post166605 http://www.pakistanaffairs.pk/threads/54753-HdNow-Watch-The-Vineyard-S01E06-Full-OnLine-Links?p=166606#post166606 http://forum.iahgames.com/fifaonline2/showthread.php?p=952402#post952402 http://forums.megaxus.com/showthread.php/132385-HdNow-Watch-The-Vineyard-S01E06-Full-OnLine-Links?p=2007833#post2007833 http://www.pakistanaffairs.pk/threads/54754-HdNow-Watch-Bad-Girls-Club-S11E03-Full-OnLine-Links?p=166607#post166607 http://forum.iahgames.com/fifaonline2/showthread.php?p=952405#post952405 http://forums.megaxus.com/showthread.php/132387-HdNow-Watch-Bad-Girls-Club-S11E03.-Full-OnLine-Links?p=2007836#post2007836 http://www.pakistanaffairs.pk/threads/54755-HdNow-Watch-The-Game-S06E19-Full-OnLine-Links?p=166608#post166608 http://forum.iahgames.com/fifaonline2/showthread.php?p=952409#post952409 http://forums.megaxus.com/showthread.php/132390-HdNow-Watch-The-Game-S06E19-Full-OnLine-Links?p=2007839#post2007839 http://www.pakistanaffairs.pk/threads/54756-HdNow-Watch-The-Game-S06E19-Full-OnLine-Links?p=166609#post166609 http://forum.iahgames.com/fifaonline2/showthread.php?p=952410#post952410 http://forums.megaxus.com/showthread.php/132392-HdNow-Watch-The-Game-S06E19-Full-OnLine-Links?p=2007842#post2007842 http://www.pakistanaffairs.pk/threads/54757-HdNow-Watch-Ink-Master-S03E07-Full-OnLine-Links?p=166610#post166610 http://forum.iahgames.com/fifaonline2/showthread.php?p=952411#post952411 http://forums.megaxus.com/showthread.php/132393-HdNow-Watch-Ink-Master-S03E07-Full-OnLine-Links?p=2007843#post2007843 http://www.pakistanaffairs.pk/threads/54758-HdNow-Watch-Double-Divas-S02E07-Full-OnLine-Links?p=166611#post166611 http://forum.iahgames.com/fifaonline2/showthread.php?p=952412#post952412 http://forums.megaxus.com/showthread.php/132395-HdNow-Watch-Double-Divas-S02E07-Full-OnLine-Links?p=2007846#post2007846 http://www.pakistanaffairs.pk/threads/54759-HdNow-Watch-Extreme-Weight-Loss-S03E12-Full-OnLine-Links?p=166614#post166614 http://forum.iahgames.com/fifaonline2/showthread.php?p=952413#post952413