Health Law Legacy Eludes President Obama as ‘Fixes’ Sink In

As a roller-coaster sign-up season winds down, President Obama’s health care law has indeed managed to change the country.

Americans are unlikely to go back to a time when people with medical problems could be denied coverage.

But Obama’s overhaul needs major work of its own if it is to go down in history as a legacy achievement like Medicare or Social Security.

Major elements of the Affordable Care Act face an uncertain future:

—As a 6-month-long sign-up season comes to an end Monday the administration’s next big challenge is to make 2015 open enrollment more manageable for consumers unaccustomed to dealing with insurance jargon. There’s also concern premiums will rise next year.

—The new insurance markets created by the law are anything but customer friendly. After the HealthCare.gov website finally got fixed, more than 6 million people have managed to sign up, allowing the exchanges to stay afloat economically. But many consumers have bought policies with restricted access to top-tier hospitals and the latest medications. The website is seeing heavy traffic this weekend, and consumers may encounter a wait or last-minute glitches.