The Health Care and Education Reconciliation Act of 2010 (Pub.L. 111–152 (text) (PDF), 124 Stat. 1029) is a law that was enacted by the 111th United States Congress, by means of the reconciliation process, in order to amend the Affordable Care Act (ACA) (Pub.L. 111–148 (text) (PDF)). The law includes the Student Aid and Fiscal Responsibility Act, which was attached as a rider.