So, the ACA is still being written, long after it was passed. That is an abomination unto itself, that the House and Senate of the USA passed a bill that was not in any way complete. I’m not up on the rules of Congress, but that certainly it seems as if passing laws that are not even written yet should not be legal. Not that it’s ever stopped this bunch before.
Pelosi told the truth (for once) and it served as a warning, when she said it would have to be passed so we could see what was in it.
For decades now, Congress has written "laws" that consist of a vague goal and authorization for federal agencies to write regulations to implement that goal.