Ohio Attorney General Richard Cordray and Indiana Solicitor General Thomas Fisher debate the constitutionality of The Patient Protection and Affordability Act and features. On March 23, 2010 President Barack Obama signed into law The Patient Protection and Affordability Act, which represents the first comprehensive federal health care reform in the history of the United States. The legislation focuses on expansion of coverage and aims to improve the quality of the nation's health care system. But it is not without controversy. More than 20 states are challenging the constitutionality of the bill; Indiana is one of them. The state of Ohio supports the legislation.