evidence: Statement from President Joe Biden on Historic 20 Million Enrollees in Affordable Care Act Health Care Today, we hit a major milestone in lowering costs and ensuring all Americans have access to quality, affordable health care: a record-breaking 20 million Americans have enrolled in health care coverage through the Affordable Care Act marketplaces. With six days left to still get covered, 8 million more Americans have signed up for ACA coverage than when I took office. The Affordable Care Act is more popular than ever, and Affordable Care Act coverage is more affordable than ever. Thanks to efforts by my Administration, millions of Americans are saving hundreds or thousands of dollars each year on health insurance premiums, and most people who shop for coverage at HealthCare.gov can find a plan for $10 a month or less.