Health Reform

Protect Our Health protest signThe Latest

Massive opposition to disastrous ACA repeal proposal stops House vote

Send a message to your representative and urge them to support full implementation ACA and to oppose any efforts to repeal this historic public health law!

Read this fact sheet on why we still need the Affordable Care Act. (PDF)

And check out this fact sheet about the Prevention and Public Health Fund. (PDF)

Read APHA's letter in opposition to any legislation that would repeal or weaken the ACA. (PDF)

Find out if your members of Congress are hosting a town hall or other constituent meetings in your community or state

Use these talking points to express your support for the ACA and oppose the repeal effort. (PDF)

Sign the petition urging President Trump and Congressional leaders to protect the gains made under the Affordable Care Act.

Read "The Economic and Employment Consequences of Repealing Health Reform: A 50 State Analysis"

For information on policies that can strengthen the ACA's insurance exchanges, take a look at this issue brief

Learn more about how the ACA's Prevention and Public Health Fund supports the CDC by reading this issue brief. (PDF)

This article describes the U.S. health system with and without the ACA.

Use this resource to see how potential replacement plans compare to the ACA.

ACA Overview

The Affordable Care Act is the nation’s health reform law enacted in March 2010. The law aims to reform both our private and public health insurance systems. Since it was enacted, it has helped about 20 million people get health insurance. Among the law's many goals: increase benefits and lower costs for consumers, provide new funding for public health and prevention, bolster our health care and public health workforce and infrastructure, foster innovation and quality in our system, and more. The ACA is threatened with repeal, however.

There are many reasons why the ACA is still critically needed in the U.S., including:

  • Millions still need insurance: Though the ACA has helped about 20 million get health insurance, about 29 million people still lack coverage.   
  • Unsustainable spending: Health care spending represented 17.5 percent of our gross domestic product in 2014.
  • Lack of emphasis on prevention: Today, seven in 10 deaths in the U.S. are related to chronic diseases such as obesity, diabetes, high blood pressure, heart disease, and cancer, which are largely preventable. Additionally, 86 percent of our health care dollars are spent treating such diseases. However, only three cents of each health care dollar spent in the U.S. go toward prevention.
  • Poor health outcomes: The U.S. spends far more on medical care than any other industrialized nation, but ranks 26 among 43 OECD countries in terms of life expectancy.
  • Health disparities: While inequities related to income and access to coverage exist across demographic lines, population-based disparities are impossible to deny.

The ACA is an important step forward. By making health coverage more affordable and accessible and thus increasing the number of Americans with coverage, by funding community-based public health and prevention programs, and by supporting research and tracking on key health measures, the ACA can help begin to reduce disparities, improve access to preventive care, improve health outcomes and reduce the nation’s health spending.

Key Resources

Take Action Now!

multiple public health words like vaccine prevention health equity and injury prevention

The Quest for Health Reform

The Quest for Health Reform A Satirical History