Week 1: The Affordable Care Act 7474 unread replies.102102 replies. Healthcare reform is a term that is ever present in our practice settings and will not disappear any time soon. 1. Share with the class implementation of the Affordable Care Act in your organization. (If you are not working as a nurse, think about what was happening when you were a prelicensure student). 2. How did your fellow healthcare workers react to implementation of the ACA? 3. How were citizens in your community impacted?