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→Implementation
===2016===
===2016===
The open enrollment period for 2016 began on November 1, 2015, and 11.6 million people signed up for an insurance plan through either a state insurance exchange or through healthcare.gov.<ref name="2016a">{{cite web|url=https://www.cms.gov/Newsroom/MediaReleaseDatabase/Fact-sheets/2016-Fact-sheets-items/2016-01-29.html|title=By the Numbers: Open Enrollment|date=2016-01-29|accessdate=February 20, 2016}}</ref> Sixty percent of the people who enrolled in a plan in 2015 and used an exchange in 2016, switched to a different insurance plan.<ref name="2016a"/>
The open enrollment period for 2016 began on November 1, 2015, and 11.6 million people signed up for an insurance plan through either a state insurance exchange or through healthcare.gov.<ref name="2016a">{{cite web|url=https://www.cms.gov/Newsroom/MediaReleaseDatabase/Fact-sheets/2016-Fact-sheets-items/2016-01-29.html|title=By the Numbers: Open Enrollment|date=2016-01-29|accessdate=February 20, 2016}}</ref> Sixty percent of the people who enrolled in a plan in 2015 and used an exchange in 2016, switched to a different insurance plan.<ref name="2016a"/>
==Effort to Repeal==
On January 19, 2011, the [[U.S. House of Representatives]] voted 245-189 to repeal Obamacare (56 percent to 44 percent). In a historic repudiation of an entitlement program that was only 10 months old, the House voted to overturn President Obama's health care takeover.<ref>[http://www.foxnews.com/politics/2011/01/19/house-poised-vote-health-law-repeal/ House Republicans Vote to Overturn Obamacare in Symbolic Move], [[Fox News|FoxNews.com]], Published January 19, 2011.</ref><ref>An historic repudiation of an entitlement that is only 10 months old. ''[[Wall Street Journal]]'', Review & Outlook: [http://online.wsj.com/article/SB10001424052748704590704576091973130244618.html The Repeal Vote], January 20, 2011.</ref> Repealing the bill would eliminate $770 billion in the newly mandated tax increases, according to the CBO.<ref>Philip Klein. [http://spectator.org/blog/2011/01/07/breaking-cbo-says-repealing-ob CBO Says Repealing Obamacare Would Reduce Net Spending by $540 Billion], ''The American Spectator'', January 07, 2011.</ref> The CBO released accounting data which shows that repealing the national health care law would reduce net government spending by $540 billion in the ten-year period from 2012 through 2021; that number represents the cost of the new provisions, minus Medicare cuts. The [[Tea Party Movement]] firmly supports the proposed repeal of Obamacare.
On February 2, 2011, the [[U.S. Senate]] proceeded with a hearing to discuss the Patient Protection and Affordable Care Act and whether or not the individual mandate requiring Americans to purchase health insurance under penalty of a fine is constitutional.<ref>Amanda Carey. [https://dailycaller.com/2011/02/03/senate-hearing-on-health-care-bills-constitutionality-had-more-show-than-substance/ Senate hearing on health care bill’s constitutionality had more show than substance], ''The Daily Caller'', February 03, 2011.</ref> The amendment to repeal Obamacare failed in the Senate by a 51-47 vote.<ref>[[Michelle Malkin]]. [http://michellemalkin.com/2011/02/02/undoing-obamacare-senate-repeal-fails-47-51-on-party-line-vote-1099-provision-killed-83-17/ Undoing Obamacare: Senate repeal fails 47-51 on party-line vote; 1099 provision killed 83-17], MichelleMalkin.com, February 2, 2011.</ref>
The Individual Mandate requiring U.S. citizens to buy healthcare was upheld by the U.S. Supreme Court as constitutional in 2012. It is possible the entire bill could end up getting repealed.<ref>(2012, April 7). "[https://www.cbsnews.com/video/watch/?id=7404552n Obama vs. Supreme Court: How Serious?]" ''CBS News''.</ref> A ''CBS News''/''New York Times'' poll taken March 21–25, 2012, found that just 26% of Americans want the Supreme Court to keep the entire healthcare law intact.<ref>Condon, S. (2012, March 26). "[https://www.cbsnews.com/8301-503544_162-57404793-503544/poll-1-in-4-want-supreme-court-to-uphold-health-care-law/?tag=featuredPostArea Poll: 1 in 4 Want Supreme Court to Uphold Health Care Law]." ''CBS News''.</ref>
Obama criticized the Supreme Court for considering the case, saying to overturn the bill would be "unprecedented" and was criticized by Senate Republican Leader Mitch McConnell, who said he should "back off. Let the Court do its work. Let our system work the way it was intended."<ref>Condon, S. (2012, April 5). "[https://www.cbsnews.com/8301-503544_162-57410114-503544/mcconnell-tells-obama-to-back-off-on-supreme-court/ McConnell Tells Obama to 'Back Off' on Supreme Court]." ''CBS News''.</ref> Following this, Obama conceded the Supreme Court does have the power to overturn the bill.<ref>(2012, April 5). "[https://www.cbsnews.com/video/watch/?id=7404408n WH Concedes Court's Power to Kill Health Care Law]." ''CBS Evening News''.</ref>
The Congressional Budget Office in 2011 projected that repealing the bill would add $211 billion to the deficit, but this was contradicted in April 2012 by economist Charles Blahouse who said the bill adds $340 billion to the deficit.<ref>''Associated Press'' (2012, April 10). "[https://www.cbsnews.com/8301-250_162-57411669/study-obamas-health-care-law-will-add-at-least-$340-billion-to-deficit/?tag=cbsnewsLeadStoriesArea Study: Obama's health care law will add at least $340 billion to deficit]." Retrieved from ''CBS News''.</ref>
As of February 2015, the House of Representatives has voted 56 times to scale back or repeal the law, but none of those proposals has received consideration in the Senate.<ref name=fulltime/><ref>{{cite news|url=https://www.washingtontimes.com/news/2015/feb/3/house-votes-repeal-replace-obamacare/|title=House votes to repeal, replace Obamacare|first=Tom |last=Howell Jr.|work=The Washington Times -|date=February 3, 2015 |accessdate=February 6, 2015}}</ref>
In October 2013, the Congress needed to adopt a continuing resolution to allow the federal government to remain open after the existing appropriation laws expired. The House adopted a series of continuing resolutions which were conditioned upon the repeal or modification of the ACA. However, the Senate adopted a series of continuing resolutions which did not contain such ACA conditions. As a result of the impasse, many federal programs were shut down and remained shut until the House agreed to fund without ACA conditions.
In April 2014 the House of Representatives voted 55 times to scale back or repeal the law, but none of those proposals received consideration in the Senate.<ref name=fulltime/>
In November 2016, the ''Washington Times'' reported that [[Paul Ryan]]
:is hoping to work with GOP presidential nominee Donald Trump to repeal Obamacare and replace its heavy mandates and coverage requirements with Republican reforms that rely on free-market levers to incentivize people into buying coverage. <ref>[https://www.washingtontimes.com/news/2016/nov/7/ryan-warns-obamacare-wont-be-repealed-clinton-wins/ Paul Ryan’s final warning to voters: Obamacare won’t be repealed if Clinton wins]</ref>
As a result of the 2016 election, Republicans controlled the White House, the House and the Senate. As a result, they followed the original Obamacare playbook and sought to make a bill repealing of Obamacare part of the budget reconciliation, which will not be subject to the Senate's 60-vote filibuster requirement. The Republicans proposed a three phase approach: a bill to repeal Obamacare and the tax provisions, new regulations from HHS, and follow-up legislation enacting the details of the new health care plan. The House committees voted the repeal bill to the floor of the House, but the House Freedom Caucus withheld its support. On March 24, 2017, the Republicans withdrew the bill. They passed a modified bill later and it was sent to the Senate. The Senate, with a slim GOP majority and with several [[RINO]]s struggled to find a replacement plan.
== See also ==
== See also ==