Twelve years ago, this week, the Affordable Care Act (ACA) became the law of the land and millions of Americans gained affordable coverage as a result. Since 2010, the ACA has endured several legislative challenges and judiciary appeals. Debbie Curtis and Rodney Whitlock were both active on both sides of the aisle during the curation of the ACA legislation and share their experiences on crafting this law, along with the outlook on what’s needed to support and strengthen the ACA for future generations.