The document summarizes key provisions of the Affordable Care Act (ACA) that took effect between 2010-2014. It discusses how the ACA prohibited insurance companies from denying coverage or charging more due to pre-existing conditions, allowed children to stay on parents' plans until age 26, eliminated the Medicare prescription drug "donut hole," established health insurance exchanges, and required most individuals to have health insurance or pay a penalty. The overall intent was to increase access to affordable health care and reward quality of care over quantity of services provided.