Patient Protection and Affordable Care Act - Obama Presidency Oral History Index / Policies Patient Protection and Affordable Care Act Transcripts Peter Orszag ...Technology Provisions, were in the Affordable Care Act instead of the stimulus bill, but the... ...It arguably could have been part of the Affordable Care Act also, but we saw an opportunity to ge... ...already producing data by the time the Affordable Care Act was passed in 2010? In very limite... ...their home districts to talk about the Affordable Care Act . There's some who thought thos... ...here, for a second. I'd say on the Affordable Care Act , the cost containment an... ...has fallen following enactment of the Affordable Care Act . There's a debate about how much o... ...about how much of that is due to the Affordable Care Act , but I believe a significant portio... ...So, that's one piece of context for the Affordable Care Act . I think the second thing is, many o... ...But I don't remember thinking about the Affordable Care Act quite in those terms. You wer... ...we had done the stimulus bill and the Affordable Care Act , and those were the two big thing... ...we could have done more or less in the Affordable Care Act , and so on. I look back on that perio... Show more... Neal Wolin ...was healthcare reform. A lot of the ACA [Affordable Care Act] works through th... ...healthcare reform. A lot of the ACA [ Affordable Care Act ] works through the tax code. So tha... ...in making sure that the pieces of the ACA that related to the Internal Revenu... ...effect in ways that worked once the ACA came into effect. That's reall... Jeanne Lambrew ...how to tackle in Congress. In fact, the Affordable Care Act has a whole title on healthcar... ...really happened with that title of the Affordable Care Act . So yes and no. With regard to th... ...So yes and no. With regard to the Affordable Care Act , it was years in the making. It wa... ...similar story, I could say, about the Affordable Care Act . You have to learn from what works an... ...put as many tools and levers into the Affordable Care Act as possible—to begin to turn thos... ...progress in the early years of the Affordable Care Act in containing costs, even with what w... ...make a difference, in the case of the Affordable Care Act , it was twenty million. So it wa... ...and Public Health Fund in the Affordable Care Act in ARRA. So we definitely thought abou... ...Research Institute, PCORI, in the Affordable Care Act . Just one question about the Healt... ...we almost did during the Affordable Care Act . In terms of the timeline— ... ...adopted. I think you can say that the Affordable Care Act was probably one of the more publicl... ...we had our one Republican vote for the Affordable Care Act . So I think it made a difference i... ...I have hundreds of cartoons about the Affordable Care Act . And one of the cartoons is, “We onl... ...options being considered in the actual Affordable Care Act debate. Forgive me if this is to... ...could figure out how to do it. As the Affordable Care Act was implemented in the years after it... ...think the implementation history of the Affordable Care Act would have been different with regar... ...There were other provisions in the Affordable Care Act . We have a whole section on publi... ...of Bernie Sanders's major asks in the Affordable Care Act , is ten billion for community healt... ...Pensions], during the debates on the Affordable Care Act , really did help keep our eyes o... ...keep our eyes on those parts of the Affordable Care Act . Can I ask: When you were walking u... ...think about the work you'd done on the Affordable Care Act to make that a possibility? ... ...we were able to take that part of the Affordable Care Act , which is incredibly undersung... ...pool with reinsurance from the Affordable Care Act to really make health insuranc... ...on a different side of implementing the Affordable Care Act . So in other words, there was a lo... ...to not endorse the president over the Affordable Care Act . There were some in the union movemen... ...who wanted to support repealing the Affordable Care Act in 2012. Yes. Because of the Cadilla... ...wasn't really included as part of the ACA [laughs]. Right. There were som... ...we were trying to deal with in the Affordable Care Act . I wanted to ask you about somethin... ...healthcare. It was not just the Affordable Care Act . And trying to manage all that and d... ...weeks leading up to the passage of the Affordable Care Act , what was your role in ensuring ... ...pre-passage and the passage of the Affordable Care Act . I've read that Senator Chris Dod... ...of teams and team effort in passing the Affordable Care Act , but also the ways in which you... ...I am grateful for the question. The Affordable Care Act was nothing but a team effort. It wa... ...the processes of national security into Affordable Care Act and domestic policy, which are a ver... ...to say, I think the reason why the Affordable Care Act was able to survive the sabotage an... ...leading implementation efforts of the Affordable Care Act , both in terms of legislative fixes... ...first bills in 2011 were repealing the Affordable Care Act . So it's definitely a cloud over th... ...to do to prove to people that the Affordable Care Act actually was making a difference. So i... ...the benefits they'd gained from the Affordable Care Act ? When possible. Those what-i... ...and then one final question about the Affordable Care Act . MACRA, or the Medicare Access an... ...to win bipartisan support while the ACA didn't? I think because the ACA wa... ...the ACA didn't? I think because the ACA was called Obamacare. I hate to sa... ...I think because the ACA was called Obamacare . I hate to say that. I think there wa... ...phases of the implementation of the Affordable Care Act —the sense that it was not going t... ...that were improvements related to the Affordable Care Act . So I think it's a good example of, i... ...to ensure the perpetuity of the Affordable Care Act even after he left office, and did yo... ...probably two dozen changes to the Affordable Care Act that we secretly got into differen... ...else. Nobody is going to care about the Affordable Care Act as much as I do and as much as you al... ...were going to be able to repeal the Affordable Care Act , the next morning at nine o'clock wit... ...ability to make change exists. And the Affordable Care Act was implemented. It did make a change... Show more... Kathleen Sebelius ...and media effort to try and stop the Affordable Care Act [ACA]. But one of the narratives tha... ...try and stop the Affordable Care Act [ ACA ]. But one of the narratives that wa... ...2009, the Senate passed the Patient Protection and Affordable Care Act , sixty votes to thirty-nine votes wit... ...on March twenty-third, 2010, when the Affordable Care Act was passed. But I wanted to ask you... ...about the implementation phase of the Affordable Care Act and maybe to begin by talking abou... ...during the implementation phase of the Affordable Care Act . I've read that in February of 2011... ...contraception to employees under the Affordable Care Act . Some senior advisors had warne... ...can check—that actually, prior to the Affordable Care Act , had passed mandatory contraceptio... ...upheld the constitutionality of the Affordable Care Act 's individual mandate. What do yo... ...be impacted in a negative way by the Affordable Care Act . That was absolutely false. It was ... ...had chosen to use to implement the Affordable Care Act that led to those delays and problem... ...to all of us.” And she said, “When the Affordable Care Act passed, I could take my savings an... ...with H1N1 and with the framing of the Affordable Care Act . The organization of food safet... ...a few follow-up questions about the Affordable Care Act and in particular what happened afte... ...in particular what happened after the Affordable Care Act became law. In March of 2010, you tol... ...the implementation and rollout of the Affordable Care Act was—that what was at stake in th... ...of Representatives voted to repeal the Affordable Care Act for the first time. I lost coun... ...communicate with the public about the Affordable Care Act ? Sure, but I want to also go back ... ...debate during the effort to pass the Affordable Care Act . But now the opposition, if you will... ...to discuss the implementation of the Affordable Care Act . What audience did you want to reac... ...to ask one final question about the Affordable Care Act . In our first sessions, we discussed ... ...you were governor of Kansas. When the Affordable Care Act became law, Congressman James Clybur... ...Yes. Jim Clyburn was talking about the Affordable Care Act being the Civil Rights Act of 2010. An... ...had been created by Title VIII of the Affordable Care Act . At the time you said, “We have no... ...other administration officials on the Affordable Care Act , after it was passed, took away fro... ...in it. The House had passed both the Affordable Care Act and an energy bill, which would hav... ...to take a pause and not work on the Affordable Care Act in the summer of 2009 but wait for thi... ...So it was less about my post- ACA time with working on other issues an... Show more... Elizabeth Brown ...and the president was trying to get the ACA [Affordable Care Act] through, al... ...president was trying to get the ACA [ Affordable Care Act ] through, all these other—and judge... ...there was so much focus on the ACA , and they didn't recognize that the... ...to ask just a few questions about the Affordable Care Act , and I wanted to start in mid-Januar... ...lessons that were learned through the ACA —and after that, obviously, as well—o... ...2010, the president signed into law the Patient Protection and Affordable Care Act in a ceremony at the White House. Th... ...of the twenty-two pens used to sign ACA , and I wanted to ask about that. Di... ...And I remember, I think it was the ACA , actually, where Nancy Pelosi, wha... Show more... Tom Harkin ...he cut it again in 2013, to set up the Affordable Care Act exchanges. He needed money, so he cu... ...talked about the Recovery Act and the Affordable Care Act , one of the connections between th... ...up with was a healthcare bill, the Affordable Care Act , that is about as convoluted as yo... ...to this day, “Can you explain the Affordable Care Act ? How does it affect you?” No on... ...and this and that, about getting the Affordable Care Act , and how convoluted it was, and sh... ...to Blair House to talk about the Affordable Care Act , chairmen and ranking members. Well... Show more... Pete Rouse ...we communicated the stimulus and the Affordable Care Act [ACA] was not particularly effective... ...stimulus and the Affordable Care Act [ ACA ] was not particularly effective. Ther... ...seats in the House because of Affordable Care Act , and stimulus, and big-spendin... ...next thing. You're trying to implement Affordable Care Act and fix the website. So it's alway... ...and Consumer Protection Act], stimulus, Affordable Care Act . Why, in the House, are we forcin... ...reaction and the public reaction to the Affordable Care Act . All of that stuff, we would hav... ...leadership, saying, “Look, on the Affordable Care Act , probably forty percent of what yo... ...2009, the Senate passed the Patient Protection and Affordable Care Act sixty votes to thirty-nine votes, wit... ...you a coherent explanation of what the Affordable Care Act did? I bet you not many of them. The... ...overseeing the implementation of the Affordable Care Act . In April of 2010, the New York Time... ...among his responsibilities, yeah. The Affordable Care Act included a tax on high-cost healt... ...and everything will be fine with the Affordable Care Act ,” we probably would have been happy t... ...before you get to Dodd-Frank and ACA and all this other stuff. A lot wa... ...upheld the constitutionality of the Affordable Care Act . Can I ask: From your perspective i... ...not Deferred Action and the DREAMers or Affordable Care Act , it's Iraq or it's something else. S... ...Shutting down the government over the Affordable Care Act —here, it was the Tea Party generate... ...they didn't get anything for this. The Affordable Care Act didn't get suspended or repealed, o... Show more... Load more Transcripts Related Topics go to the Financial Crisis and the Economy Financial Crisis and the Economy go to the Healthcare Healthcare go to the Veterans Veterans go to the Financial Reform and Regulation Financial Reform and Regulation go to the East Wing East Wing