Representative G. K. Butterfield

Representing the 1st District of North Carolina


The Affordable Care Act








The Affordable Care Act (ACA) addressed a major need in our country.  Prior to its passage in 2010, 47 million Americans had no health insurance and millions more were financially burdened by limited coverage.

In addition to expanding health coverage, the ACA has protected Americans from losing coverage because of a pre-existing health condition, among other protections, and has saved seniors billions of dollars on their prescription drugs.


Americans DON’T want to repeal the ACA

  • The majority of Americans did NOT vote to repeal the ACA.
  • The majority of Americans want to KEEP the ACA or at least portions of the ACA as law.

The ACA has made America HEALTHIER

  • Overall, 20 million previously uninsured Americans have gained health insurance coverage since the ACA’s enactment.  6.1 million are young adults ages 19 to 25.  These 20 million have gained coverage both through the ACA’s Medicaid expansion and through the ACA Marketplaces.
  • Under the ACA, the uninsured rate is now the lowest on record – 8.6 percent.  Thanks to the ACA, the uninsured rate has been slashed almost in half from 16.3 percent in 2010 to 8.6 percent today.
  • The ACA has led to strong Medicare. Since the enactment of the ACA, the solvency of the Medicare Trust Fund has been extended by 11 years.
  • In 2016, in a survey, 82 percent of consumers in Marketplace plans or newly insured under Medicaid due to ACA expansion expressed satisfaction with their coverage.

REPEAL WITHOUT REPLACEMENT would jeopardize America’s health

  • Repealing the law would remove significant and highly popular consumer protections:
    • Young adults would be removed from parental coverage at 19 rather than 26;
    • Elimination of annual and lifetime limits on coverage;
    • Preventive care would no longer be covered at no cost;
    • Women could be charged more based on gender.
  • An estimated 30 million Americans would lose coverage in 2019 if the ACA is repealed without replacement: 82% would be working families; 56% non-Hispanic whites; and, more than half of the adults with a high school education or less.
  • Repeal would result in reinstatement of the “donut hole” in prescription drug coverage, forcing more out of pocket spending for millions of seniors.

REPEAL WITHOUT REPLACEMENT would damage our economy

  • Repeal would add $350 billion to the deficit.
  • Repealing the ACA would increase Medicare spending by $802 billion over 10 years- affecting 57 million seniors and the disabled.

The ACA has EASED THE BURDEN of the cost of health care

  • Employer-based health care premium costs have grown at a slower rate than pre-ACA.
  • The Average premium is $3,600 lower than if pre-ACA had remained.
  • More than 11 million seniors have saved more than $23.5 billion on their prescription drugs since 2010- an average savings of more than $2,000 per senior.