This week marks the one year anniversary of the passing of the landmark and controversial health care reform bill. YNN's Ryan Burgess talked to a group of health care advocates Thursday to find out how much has actually changed in a year.

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"It's a good first step, but if our goal is to get everyone excellent, quality health care regardless of who you are, then we've got more to do," said Dr. Glick.

It was a year ago this week that President Obama signed the Affordable Health Care Act into law.

On Thursday, a group of health care reform advocates celebrated the one year anniversary of the expansive, yet controversial reform.

"Health care is a human right. It's not a privilege. Really, this was a long time coming," said Natalie Luczkowiak of Citizen Action of New York.

Yet a year later, many health care providers, like Dr. Glick, contend with many of the challenges they hoped would change, like unaffordable prescription drugs and soaring coverage costs.

'Every day is frustrating, because every day we have to be advocates for people who don't have access to one thing or another. They can't afford their insulin for diabetes or they can't get a test that we need them to get," said Dr. Glick.

Though the anniversary was a day to celebrate advances, like a Patient Bill of Rights and the framework for a more competitive private health insurance market, there remains unease about a law that faces possible repeal.

"We don't want it taken away from us. We want to continue fighting to perfect it. It is not a perfect law, but we need to continue fighting to make it better for all of us," said Rosemary Rivera of Citizen Action of New York.

The full implementation of the law is not expected to go into effect until 2014.