The Affordable Care Act: What It Means

 The Patient Protection and Affordable Care Act

On March 23, 2010, the President signed the Affordable Care Act. The final law encompasses 3 pieces of legislation: HR 3590 (Public Law 11-148), amended by HR 4872 (Public Law 111-152), and final amendments.

The links below present:

The Laws

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

Affordable Care Act – Summary Text by Staff of House of Reps. (see description below)


A compilation of the Patient Protection and Affordable Care
Act (‘‘PPACA’’; Public Law 111–148) consolidating the amendments
made by title X of the Act and the Health Care and Education Reconciliation
Act of 2010 (‘‘HCERA’’; Public Law 111–152).
Preparation of document.—This document was prepared by
the attorneys and staff of the House Office of the Legislative Counsel
(HOLC) for the use of its attorneys and clients. It is not an official
document of the House of Representatives or its committees
and may not be cited as ‘‘the law’’. 
This document (originally dated May 24, 2010) may be updated to reflect corrections of errors or subsequent changes in law.
United States Code citations.—United States Code section
numbers assigned to sections in PPACA are specified in brackets
after the section numbers in the heading of each section, viz., 2711
[42 U.S.C. 300gg–11].
The text of the Indian Health Care Improvement Reauthorization and Extension Act of 2009 (S. 1790), as enacted (in amended form) by section
10221 of PPACA, is shown in a separate document.
Affordable Care Act – Staff Summary


The following sites offer a comprehensive set of materials regarding the health reform legislation. They include links to the legislative text, general and detailed summaries prepared by staff, summaries addressed to particular groups, states, or issues, and links to other sources of information.

The White House, HHS

Important new site with updates, videos, detailed reports on specific aspects of the law, by demographic group, and location. Reports from the White House, Department of Health and Human Services.


Outline of Prof. LeVeen’s presentation to Alameda League of Women Voters, March 25, 2010. A work in progress, and useful resource – send your comments.
Click here to download D. LeVeen Outline


On Thursday, March 25, 2010, the Senate passed the Reconciliation Bill by a vote of 56 to 43. The House passed the Senate changes to the Reconciliation Bill by a vote of 220 to 207. The President has signed the bill. The following links go to the text for each bill, and roll call votes:

The Reconciliation bill, from (CR=Congressional Record):
3/25/2010: Passed Senate with amendments by Yea-Nay Vote. 56 – 43.

3/25/2010: Message on Senate action sent to the House.
6:40pm: Rules Committee Resolution H. Res. 1225 Reported to House. The resolution makes in order a motion offered by the chair of the Committee on Education and Labor that the House concur in the Senate amendments to H.R. 4872.
8:23pm: Rule H. Res. 1225 passed House. House Roll Call Vote 193
8:24pm: Mr. Miller, George moved that the House agree to the Senate amendments. (consideration: CR H2429-2440)
9:02pm: On motion that the House agree to the Senate amendments Agreed to by the Yeas and Nays: 220 – 207. House Roll Call Vote 194 (text as House agreed to Senate amendment: CR H2429)
Cleared for White House.


Click here for the New York Times interactive map of the House vote, Sunday, March 21

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EQUAL Thanks Speaker Pelosi on her 70th in San Francisco. March 26, 2010:
Elinor Blake, John Gilman, Karl Keener, Lee Lawrence, Dan Bernal (Chief of Staff/San Francisco, Rep. Pelosi), Ellen Shaffer, Debbie LeVeen, Roma Guy, Sandra Lang. Taking the picture: Mark Herman, Health Policy Analyst, Rep. Pelosi.

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