<P> The Patient Protection and Affordable Care Act , often shortened to the Affordable Care Act ( ACA ) or nicknamed Obamacare , is a United States federal statute enacted by the 111th United States Congress and signed into law by President Barack Obama on March 23 , 2010 . The term `` Obamacare '' was first used by opponents , then reappropriated by supporters , and eventually used by President Obama himself . Together with the Health Care and Education Reconciliation Act of 2010 amendment , it represents the U.S. healthcare system 's most significant regulatory overhaul and expansion of coverage since the passage of Medicare and Medicaid in 1965 . </P>
<P> The Patient Protection and Affordable Care Act , often shortened to the Affordable Care Act ( ACA ) or nicknamed Obamacare , is a United States federal statute enacted by the 111th United States Congress and signed into law by President Barack Obama on March 23 , 2010 . The term `` Obamacare '' was first used by opponents , then reappropriated by supporters , and eventually used by President Obama himself . Together with the Health Care and Education Reconciliation Act of 2010 amendment , it represents the U.S. healthcare system 's most significant regulatory overhaul and expansion of coverage since the passage of Medicare and Medicaid in 1965 . </P>
when did the affordable healthcare act go into effect
when did the affordable healthcare act go into effect
March 23 , 2010
March 23 , 2010