The Health Care and Education Reconciliation Act of 2010 is a law that was enacted by the 111th United States Congress, by means of the reconciliation process, in order to amend the Affordable Care Act (ACA). The law includes the Student Aid and Fiscal Responsibility Act, which was attached as a rider.

The 111th United States Congress was a meeting of the legislative branch of the United States federal government from January 3, 2009, until January 3, 2011. It began during the last weeks of the George W. Bush administration, with the remainder spanning the first two years of Barack Obama's presidency. It was composed of the Senate and the House of Representatives. The apportionment of seats in the House was based on the 2000 U.S. census.