Strengthening Healthcare

What Health Care Reform Means For You


  • No discrimination against people with pre-existing conditions
  • Children can stay on their parents’ insurance until they’re 26
  • Ban on insurance plans dropping you if you get sick
  • Ban on lifetime coverage limits and caps out-of-pocket expenses
  • Tax cuts for 156,000 middle class households in the district to pay for coverage


  • Closing the Medicare Part D donut hole
  • Extends the solvency of the Medicare Trust Fund from 2017 to 2026
  • Free preventive care under Medicare – no co-payments and deductibles
  • Help for early retirees – temporary coverage for ages 55-64


  • Ban on gender rating that results in higher premiums for women
  • Eliminates all co-pays and deductibles for preventive services like mammograms
  • No discrimination for pre-existing conditions such as having had a C-section or being the victim of domestic violence


  • $40 billion in tax credits for small businesses to help them offer employee coverage
  • 9,700 small businesses in the district qualify for tax credits of up to 50% of the costs of providing insurance
  • The same access to quality, affordable coverage that larger firms have
  • Lower administrative costs and stable pricing from year to year

For more information on how heathcare reform effects you, including resources for state insurance plans and updates on the new heatlh insurance exchange system, please visit

Patient Protection and Affordable Care Act

For the full text of the H.R. 3590, the Patient Protection and Affordable Care Act, please go here.

More on Strengthening Healthcare

Sep 10, 2020 Press Release

FRESNO—Today, Congressman Jim Costa joined other members of the Blue Dog Coalition for a discussion focused on expanding access to quality, affordable health care in rural America.

Joining Rep. Costa on the call were Rep. Xochitl Torres Small (NM-02), Co-Chair of the Blue Dog Task Force on Rural Opportunity and Rep. Henry Cuellar (TX-28).  Costa was also joined on the call by Dr. Michael Peterson, Associate Dean of UCSF Fresno.

Aug 13, 2020 Page

Dear Friend,

It’s been a difficult year so far. I’ve been working hard to deliver results for the people of the Valley. Despite the unprecedented challenges from the COVID-19 pandemic, we have remained strong. Here are some of what I’ve accomplished for you so far in 2020:  

Jun 29, 2020 Press Release


May 15, 2020 Press Release


[WASHINGTON] – Congressman Jim Costa (CA-16) voted to pass the Heroes Act,  the latest relief package from the House of Representatives to address the COVID-19 health crisis and provide support for the American people.

May 13, 2020 Press Release

(FRESNO) – After a decades long fight to improve access to healthcare for residents of the San Joaquin Valley, Congressman Jim Costa (CA-16) announced today $1 billion dollars in funding for medical school construction, expansion, and training in underserved areas will be included in the Heroes Act, the next COVID-19 relief bill introduced by the House of Representatives. 

Apr 8, 2020 Page

Dear Friend,

The COVID-19 health crisis is unprecedented and has impacted our daily lives. But together, we can work through this difficult time because wshare a deep concern about our health, safety, and the social and economic impacts of this global pandemic. 

Apr 2, 2020 Press Release

FRESNO – In an effort to ensure that the diverse communities of the Central Valley are fully informed about the COVID-19 pandemic, Congressman Jim Costa sent a letter to Health and Human Services Secretary Alex Azar to request that resources and materials are produced in a wide range of languages to educate and inform those residents:

Mar 30, 2020 Page

As this crisis continues to evolve, it's my mission to provide you with up-to-date resources on how to get the help you need. Please see the list below find helpful tips that may apply to your situation. If you need specific help from our district office, please submit a request, and someone will contact you.