.s . federal , state or local or non-u.s income tax examinations by tax authorities for years before 2007 . the company has state income tax examinations in progress and does not expect material adjustments to result . the patient protection and affordable care act ( the 201cppaca 201d ) became law on march 23 , 2010 , and the health care and education reconciliation act of 2010 became law on march 30 , 2010 , which makes various amendments to certain aspects of the ppaca ( together , the 201cacts 201d )