 Coburn voted against the Patient Protection and Affordable Care Act in December 2009, and against the Health Care and Education Reconciliation Act of 2010.Coburn co-authored the Patients Choice Act of 2009 (S. 1099), a Republican plan for health care reform in the United States, which in part 1) Requires the U.S. Secretary of Health and Human Services (HHS) to convene an interagency coordinating committee to develop a national strategic plan for prevention.The act provided for health promotion and disease prevention activities consistent with such a plan.