The day the Affordable Care Act passed was one of my proudest moments as president, because it meant that millions of Americans would have access to health care, some for the first time.
The ACA also prevented insurance companies from denying people with pre-existing conditions coverage, allowed young people under the age of 26 to remain on their parents’ plan, expanded Medicaid, and so much more.

But the ACA was always meant to be a first step. We still have to do more to expand access and make health care more affordable for everyone.
Thanks to the almost two dozen states who have stepped up to make health care more affordable, even after Congress refused to extend federal subsidies. It’s helping more people get the care they need, and more states should follow their lead.

https://www.nytimes.com/2026/03/20/health/obamacare-new-mexico-subsidies-states.html?unlocked_article_code=1.VVA.Xfkv.fCvXvhL4EX-p&smid=url-share
How New Mexico Became an Obamacare Success Story

Affordable Care Act enrollment has dropped across the United States since the enhanced federal subsidies expired. But New Mexico has record numbers of people signing up.

The New York Times
@barackobama ACA was always a Rube Goldberg contraption, designed to collapse under pressure
Thank you! It saved my best friend’s life! It has helped my family. I am so grateful to you and the GOAT @speakerpelosi !
😭😭😭 We used to have nice things.