The Affordable Care Act (ACA), which is officially called The Patient Protection and Affordable Care Act (PPACA) and most often called, ObamaCare, is a US law that reforms both the healthcare and health insurance industries in America. President Obama's Statement on the Supreme Court Affordable Care Act Ruling — “I am not the first President to take up this cause, but I am determined to be the last.” The aim was simple: That every American could share in the promise of quality health care.