The Patient Protection and Affordable Care Act is the law of the land and will likely continue to be for some time, despite opponents' best efforts to get it thrown out in court.
But what the law will look like a few years down the line is anybody's guess. In fact, the landmark legislation has already been changed significantly since it was originally enacted more than five years ago.
For the 14th time on Wednesday, President Obama signed a bill making changes to PPACA.
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