*Administration of Barack Obama, 2014 *

**Statement on the Fourth Anniversary of the Patient Protection and Affordable Care Act **

*March 23, 2014 *

Since I signed the Affordable Care Act into law, the share of Americans with insurance is up, and the growth of health care costs is down to its slowest rate in 50 years, two of the most promising developments for our middle class and our fiscal future in a long time.

More Americans with insurance have gained new benefits and protections: the 100 million Americans who've gained the right to free preventive care like mammograms and contraception, the 8 million seniors who've saved thousands of dollars on their prescription drugs, and the untold number of families who won't be driven into bankruptcy by out-of-pocket costs because this law prevents insurers from placing dollar limits on the care you can receive.

More Americans without insurance have gained coverage. Over the past 4 years, over 3 million young Americans have been able to stay on their family plans. And over the past 5½ months alone, more than 5 million Americans have signed up to buy private health insurance plans on healthcare.gov, plans that can no longer discriminate against preexisting conditions or charge you more just because you're a woman or a cancer survivor. And millions more have enrolled in Medicaid.

It is these numbers, and the stories behind each one of them, that will ultimately determine the fate of this law. It is the measurable outcomes—in savings for families and businesses, healthier kids with better performance in schools, seniors with more money to spend because they're paying less for their medicine, and young entrepreneurs who'll have the freedom to try new jobs or chase that new idea—that will ultimately offer more security and peace of mind to more Americans who work hard to get ahead.

Last month, after her first wellness visit under her new insurance plan, a woman from Colorado shared with me what that peace of mind meant to her. "After using my new insurance for the first time, you probably heard my sigh of relief from the White House," she wrote. "I felt like a human being again. I felt that I had value."

This is what's at stake anytime anyone, out of some outdated obsession, pledges to repeal or undermine the Affordable Care Act. And that's why my administration will spend the fifth year of this law and beyond working to implement and improve on it.

If you're an American who wants to get covered—or if you know someone who should—it's now last call for 2014. March 31 is the deadline to get covered this year. So check out healthcare.gov or call 1–800–318–2596 to see what new choices are available to you, and get covered today.

*Categories:* Statements by the President : Patient Protection and Affordable Care Act, fourth anniversary*.*

*Subjects:* Health and medical care : Health insurance exchanges; Health and medical care : Health insurance reforms ; Health and medical care : Insurance coverage and access to providers; Health and medical care : Patient Protection and Affordable Care Act.

*DCPD Number:* DCPD201400186.