Strengthening Healthcare

What Health Care Reform Means For You



  • No discrimination against people with pre-existing conditions

  • Children can stay on their parent's 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 healthcare reform affects you, including resources for state insurance plans and updates on the new health insurance exchange system, please visit


Patient Protection and Affordable Care Act

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


More on Strengthening Healthcare

Nov 19, 2021 Press Release

(WASHINGTON DC) - Congressman Jim Costa (CA-16) released the following statement after the House passed the H.R.

Sep 29, 2021 Press Release

FRESNO – In his continued efforts to address the critical shortage of healthcare providers and reduced hospital capacity in the San Joaquin Valley due to the COVID-19 health crisis, Congressman Jim Costa (CA-16) formally requested and received help from state and federal officials to bring more than 200 medical professionals to Fresno and Madera hospitals.

Aug 27, 2021 Press Release

FRESNO – In his ongoing efforts to ensure valley residents continue to receive high quality medical care during the COVID-19 health crisis, Congressman Jim Costa (CA-16) brought together healthcare leaders from Fresno County for a virtual press conference to discuss the dire consequences the recent surge of positive cases among unvaccinated individuals is having on the valley’s healthcare system, including hospitals that no longer have capacity for patients needing critical care:

Aug 24, 2021 Press Release

FRESNO – Congressman Jim Costa released the following statement after an agreement was made to hold a standalone vote on President Biden’s bipartisan infrastructure bill by September 27, 2021 and to only bring a reconciliation package to the House that has the backing of 51 votes in the Senate and complies with the Senate Byrd Rule:

Aug 6, 2021 Press Release

WASHINGTON – Congressman Jim Costa (CA-16) released the following statement after his vote on H.R.

Jun 15, 2021 Press Release

FRESNO – Congressman Jim Costa’s (CA-16) legislation to help curb the shortfall of physicians  in rural communities is gaining momentum for inclusion in the President Biden’s infrastructure package following a full endorsement from the Congressio

Apr 2, 2021 In The News

Federal relief of $100 million is coming to Fresno, Madera and Merced health facilities to expand COVID-19 vaccinations and treatment, Rep. Jim Costa said on Friday.

The Fresno-area Democrat said health centers can use the funding to expand COVID-19 vaccinations, testing and treatment for vulnerable populations, as well as deliver preventive and primary health care services to people at higher risk for COVID-19.

Mar 19, 2021 Press Release

(FRESNO) Congressman Jim Costa (CA-16) released the following statement after leading efforts to correct a technical error in the Consolidations Appropriations Act of 2021 which would prevent rural health clinics from receiving Medicare reimbursements:

Feb 11, 2021 Press Release

(FRESNO) Congressman Jim Costa (CA-19) released the following statement after California Governor Gavin Newsom announced his commitment to increase vaccine availability and equity across the Central Valley: