The act intended to provide quality, affordable health care for all Americans. This act puts individuals, families and small business owners in control of their health care. It reduces the premium cost for middle class through the largest middle class tax cut for health care. Moreover, the act requires all preventive services to be fully covered without any out of pocket expense. For Americans without health insurance, can choose the coverage from the new, open competitive market, where insurance companies come with transparent communication.

The act extends the Medicaid, in collaboration with the state governments. More Americans get coverage through the Medicaid expansion. The act preserves CHIP, the successful children’s insurance plan.