On March 23, 2010 the President signed into law the Patient Protection and Affordable Care Act - H.R. 3590 (the “Act”). On March 25, 2010, the House and Senate approved a reconciliation bill, the Health Care and Education Affordability Reconciliation Act - H.R. 4872 (“Reconciliation Act”), which makes changes to the Patient Protection and Affordable Care Act. The President signed the Reconciliation Act into law on March 30, 2010.