Health Care Reform

The Patient Protection and Affordable Care Act Overview

The Patient Protection and Affordable Care Act will ensure that all Americans have access to quality, affordable health care and will over time take substantial steps to rein in out-of control health care costs. The non-partisan Congressional Budget Office (CBO) has determined that the Patient Protection and Affordable Care Act is fully paid for, will provide coverage to more than 94 percent of Americans, lowers health care costs and reduces the deficit.

 Quality, Affordable Health Care for Americans 

  • The Patient Protection and Affordable Care Act includes immediate changes to the way health insurance companies do business to protect consumers from discriminatory practices. It also provides Americans with preventive coverage and better information so they can make informed decisions about their health insurance.
  • Uninsured Americans with a pre-existing condition will have access to an immediate insurance program to help them avoid medical bankruptcy.
  • New health insurance exchanges will make coverage affordable and accessible for individuals and small businesses. Premium tax credits and cost-sharing assistance will help those who need assistance.
  • Insurance companies will be barred from discriminating based on pre-existing conditions, health status, and gender.


Improving the Quality and Efficiency of Health Care

  • The Patient Protection and Affordable Care Act strengthens the Medicare program for America’s seniors. Medicare is a sacred trust with seniors and people with disabilities. The Act will ensure that trust is preserved. The Medicare hospital insurance trust fund is expected to go broke in just over seven years. It will make Medicare a stronger, more sustainable program by cutting long term costs. 
  • Medicare currently reimburses health care providers on the basis of the volume of care they provide rather than the value of care. For each test, scan or procedure conducted, Medicare provides a separate payment, rewarding more tests instead of better outcomes. The Patient Protection and Affordable Care Act moves our system toward paying for quality and value and reducing costs to America’s seniors.


Health Care Access and Investments in Workforce

  • Currently, 65 million Americans live in communities where they cannot easily access a primary care provider, and an additional 16,500 practitioners are required to meet their needs. The Patient Protection and Affordable Care Act will address shortages in primary care and other areas of practice by making necessary investments in our nation’s health care workforce. The Patient Protection and Affordable Care Act will invest in the National Health Service Corps, a scholarship and loan repayment program to expand the health care workforce. The bill also includes incentives for primary care practitioners and for providers to serve underserved areas.


Prevention of Chronic Disease and Improving Public Health

  • The Patient Protection and Affordable Care Act promotes preventive health care to encourage healthy life choices and help restrain health care costs. The Patient Protection and Affordable Care Act will eliminate co-pays and deductibles for recommended preventive care, provide individuals with the information they need to make healthy decisions, improve education on disease prevention and public health, and invest in a national prevention and public health strategy.


Transparency and Program Integrity

  • The Patient Protection and Affordable Care Act will provide consumers with information about their health care, including physician ownership of hospitals, medical equipment, and nursing home ownership. The bill also includes provisions that will crack down on waste, fraud, and abuse in Medicare, Medicaid, CHIP and private insurance. Finally, the Patient Protection and Affordable Care Act will establish a private, non-profit entity to identify priorities for and provide for the conduct of comparative outcomes research.


The Role of Public Programs

  • The Patient Protection and Affordable Care Act expands eligibility for Medicaid to include all non-elderly Americans with income below 133 percent of the Federal Poverty Level (FPL), with substantial assistance to states for the cost of covering these individuals.


Improving Access to Innovative Medical Therapies

  • The Patient Protection and Affordable Care Act creates a brand new pathway for FDA approval of generic versions of biologic therapies. The Patient Protection and Affordable Care Act will also provide discounted drugs at children’s hospitals, cancer hospitals, and rural and underserved hospitals so that patients have access to medicines at lower cost.


Paying for Health Reform

  • The Patient Protection and Affordable Care Act is fully paid for and reduces the deficit by 130 billion in the next ten years and continues into the next decade. Revenue is generated putting downward pressure on health insurance plans to slow the skyrocketing growth in health care costs we’ve seen over the past several years. The Act also collects fees from health care industries, which will benefit from the expanded coverage of millions of additional Americans under health care reform.

Fixing Health Care

Over the past decade, the median family income in our country fell by $300 and health care costs increased by 80%. We cannot continue on this path. The status quo is unacceptable.

Health care reform needs to reduce health care costs for Coloradans, preserve choice of health insurance, improve access to quality, affordable care-especially for all kids and for families living in rural area - and be done in a way that does not overburden future generations with debt.

For far too long, insurance companies have held the power over patients, physicians, and nurses and patients. That needs to end. We can, and must, provide stability and a peace of mind for our patients. When reforming the system, we need to ensure that insurance companies can no longer deny you coverage for pre-existing conditions; drop coverage if you become seriously ill; set caps for when health emergencies occur; and charge you high costs for your prescription drugs and doctor's visits.

In Colorado, doctors and hospitals across the state have created models that improve patient care while reducing costs-models that we should bring to the national stage.

Here's a quick overview of legislation I've introduced and supported to make sure we achieve health care reform the right way. For a more detailed look at health care, click here.


Health Care in the News


Videos: Pushing for Meaningful Health Care Reform


Action in the Senate


Health Care News Releases