Care and Education Reconciliation Act of 2010. In 2014, Burr and Senator Orrin Hatch sponsored the Patient Choice, Affordability, Responsibility and Empowerment Act, a bill that would repeal and replace the ACA. In 2017, Burr voted for the Republican legislation to replace major parts of the ACA; the legislation failed in the Senate on a 50–49 vote. In 2012, Burr co-sponsored a plan to overhaul Medicare; his bill would have raised the eligibility age from 65 to 67 over time and shifted more seniors to private insurance. The proposal would have begun "a transition to a system dominated by private insurance plans." Burr opposed legislation to allow the U.S. Food and Drug Administration (FDA) to regulate the tobacco industry, which is economically important in North Carolina, and unsuccessfully tried to filibuster the Family Smoking Prevention and Tobacco Control Act of 2009. In 2010, he introduced the National Uniformity for Food Act, unsuccessful legislation that would have banned states from forcing manufacturers to include labels other than those required by the FDA on consumables and health and beauty products. Social issues In 2018, Burr voted in favor of legislation to ban abortion after 20 weeks of pregnancy. He supports parental notification laws and efforts to restrict federal funding of Planned Parenthood. He voted to define a pregnancy as carrying an "unborn child" from the moment of conception. He voted to prevent minors who have crossed state lines from getting an abortion, as well as to ensure parents are notified if their child does get an abortion. He voted to extend the federal prohibition on tax dollars being used for abortions by preventing the U.S. Department of Health and Human Services from giving grants to any organization that performs abortions at any of its locations. Burr opposes the legalization of cannabis for both medical and recreational use. He stated that there should be greater enforcement of current anti-cannabis federal laws in all states, even when cannabis is legal as a matter of state law. Burr voted for the Don't Ask, Don't Tell Repeal Act of 2010, the only Southern Republican senator to do so. The bill repealed the Defense Department's don't ask, don't tell policy of employment discrimination against openly gay individuals. Burr and John Ensign were the only senators who voted against cloture but for passage; Burr said he opposed taking up the issue of DADT repeal amid wars in Iraq