In less than three months, thousands of California residents will begin enrolling in expanded health coverage as part of the Affordable Care Act. The law is complex and touches almost every part of the health care system. But what does it mean for residents of the San Joaquin Valley? Over the coming months, we’ll explore that question by visiting with patients, doctors, businesses and clinics in the community of Madera. It’s a city that’s home to more than 62,000 people, more than quarter of whom live below the poverty level.