There are a couple of ways to do it, the easiest way is to go to :-
http://www.masseffectsaves.com/
On that site you will find a wide range of PC save games, just choose the save game that has the decisions you want and then do a New Game + . It doesn't matter what the save game shepard looks like because you will be given an opportunity to change their look at the start of ME 2.
The second more fiddly way to do it is to use the Mass Effect Save game editor which you can get here :-
http://www.masseffectsaves.com/mods.php
Scroll down to the tools section and you should see gibbed's Save Editor. Download it and load a COMPLETED ME 2 savegame, edit the ME 1 decisions save the file and then start a "New Game +" using that save file and ME 2 will take into account the new decisions.
As for whether the decision affects the story in ME 2, I would say at the moment "not really". There are some subtle differences in the conversations you have on the Citidel but that is about it. In ME 2 the council has very little consequence, but it is widely believed what you did at the end of ME 1 will have an important bearing on ME 3.
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