STATEMENT RELEASE: Statement from AAC on the Anniversary of the Enactment of the Affordable Care Act

Doctors for America
PO Box 53313
1921 Florida Ave NW
Washington, DC  20009-9997

March 23, 2024

Statement from AAC on the Anniversary of the Enactment of the Affordable Care Act


WASHINGTON, D.C. – Doctors For America proudly celebrates the 14th anniversary of the Patient Protection and Affordable Care Act (ACA), along with the millions of Americans who have benefited from the landmark legislation. In the most recent enrollment period, a record 21 million people selected a plan through the ACA Marketplace and tens of millions more continue to rely on the expansion of Medicaid to get their care. This dramatic expansion in access to health care contributed to an unprecedented drop in the uninsured rate that has persisted ever since, and recently hit a new all-time low. In addition to cutting the uninsured rate in half, the ACA also significantly reduced racial and ethnic disparities in insurance coverage. Expanded coverage has meant more patients being able to see their doctors for everything from routine check ups to life threatening emergencies and the countless medical uncertainties in between. 

The reforms included in the ACA proved even more essential when the country found itself facing the coronavirus-19 pandemic. Without the protections enshrined into the law, untold millions of Americans would have faced higher barriers to care at a time when access to care could not have been more critical. 

Despite the many improvements already achieved through the ACA, still more challenges persist. Over 25 million Americans remain without health insurance coverage, leaving them at the mercy of an increasingly profit-driven health care system that often saddles these patients with mountains of medical debt – if they are able to access care at all. 

Doctors for America has worked tirelessly to close these remaining gaps. Together with our coalition partners, in 2023 we pushed North Carolina over the finish line to become the 40th state to expand Medicaid, giving another 600,000 people access to affordable care. Mississippi also stands on the cusp of expansion and we urge policy makers there to do right by their constituents and end the unnecessary hardship they have perpetuated on them for over 10 years.  

Nine other states continue to ignore the suffering of their communities by refusing to expand Medicaid eligibility. We call on the legislators in Alabama, Florida, Georgia, Kansas, South Carolina, Tennessee, Texas, Wisconsin and Wyoming to immediately correct this unconscionable act of callousness towards their own citizens.

Other reforms could further reduce the burden of inaccessible care on the most historically marginalized populations. We applaud the efforts by the Biden administration to expand postpartum Medicaid coverage to a full 12 months and call on state leaders to implement these changes as soon as possible. This is one tool that could address how Black women are three times more likely to die from pregnancy-related causes than white women. The expansion of premium tax credits for Marketplace policies has made coverage more affordable for millions of Americans. As these credits near their sunset in 2025, we urgently call on Congress to make these changes permanent so that families no longer have to live with the uncertainty of premium spikes in the future. 

The passage and implementation of the ACA was a watershed moment in the history of healthcare in America. Overnight, the prayers of millions of Americans who had been left behind by our patchwork healthcare system were answered. The prayers came from those who were repeatedly turned away by insurance companies because they had an early cancer diagnosis. They came from college graduates who hadn’t yet got their footing and couldn’t afford coming off their parents’ plans. They came from working class families who made too much to qualify for Medicaid but not enough to reliably put food on the table. For these Americans, the Affordable Care Act was nothing short of transformative. Yet until every person in this country has access to equitable, high quality and affordable health care, the highest aims of the ACA will remain unfulfilled, and Doctors for America will continue to fight for that promised future.


About Doctors for America:

Doctors for America mobilizes doctors and medical students to be leaders in putting patients over politics to improve the health of our patients, communities, and nation. DFA is an organization of over 27,000 physician and medical student advocates in all 50 states, representing all areas of specialization. DFA teaches physicians and medical students advocacy skills and does advocacy at a state and federal level. Our impact areas focus on access to affordable care, community health and prevention, and health justice and equity. DFA focuses solely on what is best for our patients, not on the business side of medicine, and does not accept any funding from pharmaceutical or medical device companies, which uniquely positions DFA as the organization that puts patients over politics and patients over profits. Find out more at and on Twitter drsforamerica.

Affordable Care Act