the Patient Protection and Affordable Care Act (PPACA, Public Law 111-148); and, following that, the Health
Care and Education
Reconciliation Act of 2010 (H.R. 4872), which made a number of changes to provisions of PPACA along with significant changes to the federal postsecondary education programs.
On March 20, 2010, CBO released its final cost estimate for the reconciliation act, which encompassed the effects of both pieces of legislation.