At this point, the Affordable Care Act (ACA) is well over ten years old. There have been numerous court challenges, and many state reforms have trickled down from the ACA. Based on what we have covered this term so far and using your own experiences, as well as the work you have done on your own project, share your thoughts. What impact could the ACA have on the health policy recommendations that you are proposing? Would the impact be positive, negative, or mixed? How so?