Obviously, this is only a small part of how the health law has changed the U.S. health care system.
For instance, our updated graphic does not explain how the ACA's quality programs are affecting hospitals.
Earlier this week: The 761 hospitals likely to face penalties for patient harm
It also does not include the millions of Americans who have obtains subsidized health insurance through the ACA's exchanges.
But it does give an idea of how the Supreme Court's decision on June 28, 2012, affects the health care industry to this day—and how different our health system would look if the justices had decided to strike down the law.
Of course, the 2012 ruling was not the end of the law's legal woes. We're expecting a ruling from the Supreme Court on the law's contraceptive coverage mandate any day now. And Dan Diamond earlier this week outlined four other ACA lawsuits to watch.