The Patient Protection and Affordable Care Act is the law of theland and will likely continue to be for some time, despiteopponents' best efforts to get it thrown out in court.

But what the law will look like a few years down the line isanybody's guess. In fact, the landmark legislation has already beenchanged significantly since it was originally enacted more thanfive years ago.

For the 14th time on Wednesday, President Obama signed a billmaking changes to PPACA.

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