ABSTRACT

On March 23, 2010, the Patient Protection and Aordable Care Act (ACA), commonly known as “Obamacare,” was signed into law. e law was aimed at providing a form of universal health care in the United States by increasing access to coverage, improving quality and aordability of health insurance, and controlling health-care costs. e ACA sought to achieve these goals through a combination of employer and individual mandates, state and individual subsidies, expansion of public programs, and insurance exchanges. It represents the most signicant legislative overhaul of the U.S. health-care system since the passage of Medicare and Medicaid in 1965. With the provisions of the ACA taking eect gradually from 2010 to 2020, outcome measures will be closely scrutinized by the public as well as both major political parties.