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

Feb 5, 2020 Press Release

(WASHINGTON) To raise awareness about the physician shortage in the Valley, Congressman Jim Costa (CA-16) announced that he will be joined at the 2020 State of the Union Address in Washington by Enid Picart, a first generation college student who is a San Joaquin Valley PRIME medical student at UCSF-Fresno: 

Jan 23, 2020 In The News


The half-century-long push to open a public medical school in the San Joaquin Valley gained additional steam Wednesday.

Reps. Jim Costa (D–Fresno) announced a new bill, the Expanding Medical Education Act of 2020, to help finance the construction of medical schools.

The bill prioritizes regions with a population of more than 1,000,000 that do not have a medical school in operation. It would provide up to $10 million in matching grant funds to a prospective medical school.

Jan 22, 2020 Press Release

FRESNO, CA – In his continued efforts to fight for better access to healthcare for residents of the San Joaquin Valley, Congressman Jim Costa introduced legislation that will provide $200 million dollars in funding to help curb the shortfall of primary care providers in California, particularly in underserved areas where patients have limited access to medical care.

Jan 10, 2020 Press Release

(WASHINGTON) - Congressman Jim Costa (CA-16) released the following statement after California Governor Gavin Newsom announced his 2020-1 State Budget proposal

Dec 12, 2019 Press Release

(WASHINGTON) - This year Congressman Jim Costa (CA-16) has been working to deliver on his pledge to bring down health care costs by addressing the skyrocketing prices of prescription drugs.  Rep. Costa made good on that promise by voting for H.R. 3, the Elijah E. Cummings Lower Drug Costs Now Act

Feb 12, 2019 Press Release

Fresno, CA – Congressman Jim Costa (CA-16) released the following statement regarding California Governor Gavin Newsom’s February 12th State of the State address:

“The Governor today, in his State of the State address, outlined a new direction for California. His priorities for water and transportation will provide a fresh look, and I hope new opportunities. 

“Attempting to pursue a more centrist approach to creating water sustainability in California is the key. 

Sep 21, 2018 Press Release

Fresno, CA – Today Valley Congressman Jim Costa (CA-16) held a cancer summit at the Clovis Community Medical Center as part of a nationwide collaboration with Vice President Joe Biden and Dr. Jill Biden’s cancer fighting movement.

Oct 18, 2017 Press Release

FRESNO, CA – Congressman Jim Costa (CA-16) issued the following statement today after the leaders of the Senate Committee on Health, Education, Labor, and Pensions – Sen. Lamar Alexander (R-TN) and Sen. Patty Murray (D-WA) – announced their bipartisan agreement to improve the Affordable Care Act, which  includes funding the cost-sharing reduction payments the Administration cut last week: