Some provisions have disappeared completely. The ACA aimed to create three new health insurance products. None of them stuck.

The CLASS Act was supposed to provide long-term care. Experts suspected even before the law passed that CLASS would be unworkable. It was. The Obama administration abandoned it in 2011.

It established new, non-profit health care co-ops, designed to bolster competition through lower premiums. All but a few of the co-ops ended up failing.

It also established two new multi-state insurance plans — again, to bolster competition in places that didn’t have much. That effort is now down to one plan, in one state.