evidence: Statement from President Joe Biden on the Record-Breaking 2024 Open Enrollment Period Under the Affordable Care Act Today, we broke another record when it comes to lowering costs and ensuring Americans have access to quality, affordable healthcare: 21.3 million Americans have signed up for health coverage through Affordable Care Act marketplaces. That means 9 million more people have gained coverage under the law – and peace of mind – since I took office. It’s no accident. My actions to protect the Affordable Care Act and lower premiums continue to make a big difference. And the American people have made it clear: they don’t want the Affordable Care Act weakened and repealed – they want it strengthened and protected. We need to build on the progress we’ve made by making lower premiums permanent. But Republicans in Congress have a different vision. Their recent budget would get rid of the improvements I signed into law, raising costs for millions of people. Over the last decade, extreme Republicans in Congress have blocked efforts to lower health care costs, and they’re still trying to end the Affordable Care Act, just as my predecessor tried and failed to do. Repealing the Affordable Care Act would throw these 21 million people off their coverage, and end Medicaid coverage for millions more. It would return to the days when insurance companies could rip Americans off by denying coverage based on pre-existing conditions, charge women more than men, and make older adults pay astronomical health care premiums based on their age. We must not and will not go back.