A Protect Our Care Initiative · March 23, 2026

16 years
of the ACA.
Republicans
never stopped
trying to kill it.

On March 23, 2010, President Obama signed the ACA into law. Not one Republican voted for it. In 16 years, it covered 50 million people and protected 129 million with pre-existing conditions. Today, the GOP is gutting it — $1 trillion in Medicaid cuts, premiums doubled, 750+ hospitals at risk. All for billionaire tax breaks. This is the toolkit. Use it.

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Key statistics

✓ Gained
0
Americans gained Marketplace coverage
✓ Gained
0
with pre-existing conditions protected
✓ Gained
0
covered by Medicaid and CHIP
✗ GOP Cut
0
cut from Medicaid — largest ever
✗ GOP Cut
0
families: premiums doubled on Jan. 1
✗ GOP Cut
0
hospitals, clinics & nursing homes at risk
ACA supporters rally outside the Supreme Court holding signs reading ACA Is Here To Stay
Rally outside the Supreme Court, 2017AP Photo / J. Scott Applewhite
President Obama signs the Affordable Care Act into law on March 23, 2010
President Obama signs the ACA — March 23, 2010Win McNamee / Getty Images
President Obama and Vice President Biden celebrate ACA passage in the Roosevelt Room
The Roosevelt Room — March 21, 2010Pete Souza / Official White House Photo
The Record

What changed.
What's being
taken away.

✓
The Affordable Care Act — signed by President Obama, March 23, 2010
Every one of these gains came from Democrats passing the ACA. Not one Republican voted for it.
50M+Americans gained health coverage through the ACA Marketplace since 2014 — the largest coverage expansion in American history
129MAmericans with pre-existing conditions protected — insurers can no longer drop you or charge you more because you got sick
80MAmericans covered through Medicaid and CHIP expansion, including 36 million children
220M+gained free preventive care — cancer screenings, vaccinations, contraception — at zero out-of-pocket cost
0Republican votes for the ACA — then, or in any of the hundreds of repeal attempts in the 16 years since
✗
Trump & Congressional Republicans — the Big, Ugly Bill, 2025–2026
Every one of these cuts was made by Republicans — to fund tax breaks for billionaires and big corporations.
$1Tcut from Medicaid by Republicans — the largest single cut in the program's history, to pay for billionaire tax breaks
22Mfamilies saw premiums double on January 1st after Trump and Republicans eliminated the ACA premium tax credits
1M+Americans have already dropped coverage because they can no longer afford it — a direct result of Republican cuts
750+hospitals, clinics, and nursing homes at risk of closing because of GOP Medicaid cuts — including 330+ rural hospitals
10M+Americans losing Medicaid under Trump's big, ugly bill — seniors, children, veterans, people with disabilities

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