In March 2010, following years of Congressional standoff, President Barack Obama signed into law the Patient Protection Affordability and Care Act (PPACA). The PPACA was written to roll out in phases over four years and more, and it sought to reduce costs of health insurance, overhaul Medicare and Medicaid, insure more Americans, and reduce the costs of healthcare.


There is, of course, a lot more to the story. Nonpartisan budget analyses expect the program to cost billions in the short-term, because of the expanded entitlements and costs on the exchanges. Those same estimates also foresee substantial increased costs in the long-term.


The Affordable Care Act has also faced legal challenges, including to its employer mandate (National Federation of Independent Business v. Sebelius) and its mandates regarding employers to cover specific items or services  (Burwell v. Hobby Lobby).


In addition to upfront costs, there are various concerns related to hidden costs, such as the potential for a government “bailout” in the risk corridors portion of the law, the high price tag for the broken website, the unilateral 1-year delay of the individual mandate, the rising and inconsistent price of premiums, individuals losing healthcare plans despite promises otherwise, and issues implementing the marketplaces in individual states.

Various reform proposals have been introduced in the years since the Act’s passage, while efforts to repeal the law entirely continue. Read below to see Institute analyses of some key proposals.
American Healthcare Reform Act
C.A.R.E. Act
Risk Corridors