This framework provides guidance for social workers in their roles ensuring that services are provided fairly and effectively. The influence of these regulations is complex affecting both the functioning of work and the ethical considerations involved in the field. A relevant example is the introduction of the Affordable Care Act (ACA) in 2010. This significant legislation aimed to improve healthcare access, for Americans through measures like expanding Medicaid and establishing insurance marketplaces. Social workers in healthcare environments had to adjust to service delivery approaches that combined physical health with mental well being due to this policy change. This meant that social workers had to deal with complex eligibility criteria and work alongside teams to provide care, for their clients. In general policies such as the Affordable Care Act highlight the significant impact of laws on social work practices. By setting standards for how services are delivered and how social workers engage with clients these regulations can either improve or impede a social workers effectiveness in meeting client needs