The Affordable Care Act reaches an important milestone -- and deadline -- on Monday. The law's rollout has worked pretty well in some states, and has been a mess in other states. In the case of Oregon, the state promised big and hasn't delivered. Also, up to $50 billion in tax breaks that expired in 2013 may get a new life as the Senate takes up a proposal to extend them temporarily. Good news for lobbyists and their clients, but the breaks will have to get through the House. And the National Perinatal Association, representing the folks who work in neo-natal ICU units, has released a statement to urge doctors and health insurance cos to reduce health risk and costs by changing in vitro fertilization procedures.