The lack of affordable healthcare

Please provide answers to the following questions in whatever format works best for you. For this final section, only a couple of the questions will require research to answer (the questions are noted below); the rest of the questions will be based on your observations/insights from the analysis.

What changes have been made to the policy since it originally went into effect? (use sources to answer this question)
How effective has the policy been in reaching its goals? Have there been any unintended consequences? (use sources to answer these questions)