HealthCare.gov is Open for Business
“If it weren't for [the Affordable Care Act], my family would be uninsured.”
“Without … [the] Affordable Care Act, I would now be nearly $24,000 in debt with no way to pay for it.”
“I am a wife and mother to 2 young children, ages 6 & 10. I am recovering and alive because I had insurance.”
“I am an American with many hopes and dreams and I know I will face many challenges ahead. But, now I have peace of mind and less anxiety about maintaining good health.”
“Before this Act, I was very limited in obtaining any health care. It has changed my life dramatically.”
“Without the Affordable Care Act, I simply could not have retired at 62.”
“I cannot begin to express the relief and decreased stress this has brought me.”
“My guess is that there are many more Americans whose new health insurance is already allowing them to contribute more fully to the economy and their communities.”
“The affordable solution was pain medication. … Then the ACA happened.”
“I remember breaking down in tears because no longer was I going to be punished for a disease I never asked for.”
“I cried the day I was finally able to sign up for coverage. I felt like a fifty-pound weight was lifted from my shoulders.”
“Our budget is very [tight] and we live month to month. So having this coverage is a huge relief for us.”
Republican Ideas Included in the President's Proposal
It’s clear that the American people want health insurance reform. They aren’t interested in Democratic ideas or Republican ideas. They’re interested in the best ideas to reduce costs, guarantee choices and ensure the highest quality care.
They’re interested in ideas that will put them back in control of their own health care.
Throughout the debate on health insurance reform, Republican concepts and proposals have been included in legislation. In fact, hundreds of Republican amendments were adopted during the committee mark-up process. As a result, both the Senate and the House passed key Republican proposals that are incorporated into the President’s Proposal.
Review a few of the Republican initiatives included in legislation passed by Congress:
- Includes personal responsibility incentives: Allows health insurance premium to vary based on participation in proven employer wellness programs
- (Sources: H.R. 3468, “Promoting Health and Preventing Chronic Disease through Prevention and Wellness Programs for Employees, Communities, and Individuals Act” (Castle bill); H.R. 4038, “Common Sense Health Care Reform & Accountability Act” (Republican Substitute bill); H.R. 3400, “Empowering Patients First Act” (Republican Study Committee bill); H.R. 3970, “Medical Rights & Reform Act” (Kirk bill), "Coverage, Prevention and Reform Act")
- Advances medical liability reform through grants to States: Provides grants to States to jump-start and evaluate promising medical liability reform ideas to put patient safety first, prevent medical errors, and reduce liability premiums.
- (Sources: S. 1783, “Ten Steps to Transform Health Care in America Act” (Enzi bill); H.R. 3400, “Empowering Patients First Act” (Republican Study Committee bill); H.R. 4529, “Roadmap for America’s Future Act” (Ryan bill); S. 1099, “Patients’ Choice Act” (Burr-Coburn, Ryan-Nunes bill))
- Extends dependent coverage to age 26: Gives young adults new options.
- (Sources: H.R. 4038, “Common Sense Health Care Reform & Accountability Act” (Republican Substitute bill); H.R. 3970, “Medical Rights & Reform Act” (Kirk bill))
- Allows automatic enrollment by employers in health insurance: Allows employee to opt-out.
- (Sources: House Republican Substitute; H.R. 3400, “Empowering Patients First Act” (Republican Study Committee bill); “Coverage, Prevention, and Reform Act” )
- Mechanisms to improve quality.
- (Sources: H.R. 4529, “Roadmap for America’s Future Act;” S. 1099, “Patients’ Choice Act;” H.R. 3400, Republican Study Group bill; S. 1783, “Ten Steps to Transform Health Care in America Act” (Enzi bill))
- Community Mental Health Centers. The President’s Proposal ensures that individuals have access to comprehensive mental health services in the community setting, but strengthens standards for facilities that seek reimbursement as community mental health centers by ensuring these facilities are providing appropriate care and not taking advantage of Medicare patients or the taxpayers.
- (Source: H.R. 3970, “Medical Rights & Reform Act”)
"The stories of everyday Americans and, more importantly, the courage it took to share those stories is what kept this effort alive and moving forward even when it looked like it was lost. They are why we got this done. They are why I signed this bill into law."
Reform by State
Find out what's happening in your state and listen to stories from Americans across the country.View the Map