[296][297]

Maximum Out-of-Pocket Premium as Percentage of Family Income and federal poverty level, under Patient Protection and Affordable Care Act, starting in 2014 (Source: CRS)[298]
On July 14, 2009, House Democratic leaders introduced a 1,017-page plan for overhauling the U.S. health care system, which Obama wanted Congress to approve by the end of 2009.[295] After public debate during the Congressional summer recess of 2009, Obama delivered a speech to a joint session of Congress on September 9 where he addressed concerns over the proposals.[299] In March 2009, Obama lifted a ban on using federal funds for stem cell research.[300]
On November 7, 2009, a health care bill featuring the public option was passed in the House.[301][302] On December 24, 2009, the Senate passed its own bill—without a public option—on a party-line vote of 60–39.[303] On March 21, 2010, the Patient Protection and Affordable Care Act (ACA) passed by the Senate in December was passed in the House by a vote of 219 to 212. Obama signed the bill into law on March 23, 2010.