The most visible challenges associated with the ACA is the expansion of Medicaid under the patient protection .The population having access to affordable health care and insurance has been an issue in the United States for an extensive period of time. National and State health care policies have been implemented, such as Medicaid for the poor and Medicare for senior citizens. However, until ACA, there has been no extensive national health insurance public policy to cover adults who do not fall into these two categories. This means those who make too much to receive Medicaid and those who are too young to receive Medicare are left to make the decision of whether or not to purchase health insurance for themselves and their families. There have
