President Signs Health Reform Law – Patient Protection and Affordable Care Act into law

by Carolina on April 8, 2010

Post image for President Signs Health Reform Law –                        Patient Protection and Affordable Care Act into law

On Tuesday, March 23, 2010, president Obama signed the Patient Protection and Affordable Care Act into law. The enactment of the law is a huge victory for public health thanks to the efforts of all public health advocates. The law will:

  • Extend health insurance coverage to an additional 32 million uninsured Americans.
  • Provide subsidies to help individuals purchase health insurance.
  • Prevent insurance companies from discriminating against individuals with pre-existing conditions.
  • Strengthen the Medicare program.
  • Provide billions of dollars of funding for public health and prevention when it is fully implemented.

In fact, the new Prevention and Public Health Fund created by the law will provide $500 million for prevention, wellness and public health activities beginning this year 2010.

There is summary of the final health reform law available on the Kaiser Family Foundation’s website at Here is a list of contents of that summary and you can access the entire document at

The new law, and changes made to the law,  focuses on provisions to expand coverage, control health care costs, and improve health care delivery system.

Patient Protection and Affordable Care Act (P.L. 111-148)


Individual Mandate: Requirement to have coverage

Employer Requirements: Requirement to offer coverage; and other requirements.

Expansion Of Public Programs: Treatment of Medicaid; and Treatment of CHIP.

Premium And Cost-Sharing Subsidies To Individuals: Eligibility; Premium credits; Cost-sharing subsidies; Verification; and Subsidies and abortion coverage.

Premium Subsidies To Employers: Small business tax credits; and Reinsurance program.

Tax Changes Related To Health Insurance Or Financing Health Reform: Tax changes related to health insurance; and Tax changes related to financing health reform,

Health Insurance Exchanges: Creation and structure of health insurance exchanges, Eligibility to purchase in the exchanges; Public plan option; Consumer Operated and Oriented Plan (CO-OP); Benefit tiers;  Insurance market and rating rules; Qualifications of participating health plans; Requirements of the exchanges; Basic health plan; Abortion coverage; and Effective dates.

Benefit Design: Essential benefits Package; and Abortion coverage.

Changes to Private Insurance: Temporary high-risk pool; Medical loss ratio and premium rate reviews; Administrative simplification; Dependent coverage; Insurance market rules; Consumer protections; Health care choice compacts and national plans; and Health insurance administration.

State Role: State role.

Cost Containment: Administrative Simplification; Medicare; Prescription drugs; and Waste, fraud, and abuse.

Improving Quality/Health System Performance: Comparative effectiveness research; Medical malpractice; Medicare; Dual eligibles; Medicaid; Primary care; National quality strategy; Financial disclosure; and Disparities

Prevention/Wellness: National strategy; Coverage of preventive Services; Wellness programs; and Nutritional information.

Long-term Care: CLASS Act; Medicaid; and Skilled nursing facility Requirements.

Other Investments: Medicare; Workforce; Community health centers and school-based health centers; Trauma care; Public health and disaster preparedness; Requirements for non-profit hospitals; and American Indians.

Financing: Coverage and financing; and Sources of information

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