<human>:  What is the impact of the Affordable Care Act on people's health insurance options?
<bot>: The Affordable Care Act has had a significant impact on people's health insurance options. It has extended coverage to millions of American citizens who were previously uninsured, and provided access to more affordable health insurance options. It has also helped to reduce the cost of private insurance premiums and out-of-pocket costs, as well as expand coverage for preventive care services. Additionally, the law has improved the quality of care for all those covered by providing more comprehensive benefits and additional consumer protections.