President Obama has made hundreds of campaign promises. Obama's health care mission was among the most powerful and important. Several weeks after his inauguration, he moved to fulfill his health care commitment. He wanted the new bill to reflect his eight principles: guarantee choice, make health coverage affordable, protect the financial health of families, invest in prevention and well-being, offer portable coverage, aim for universality, improve patient safety and quality of care and maintain it over the long term. term of fiscal sustainability (8 Simple Rules, 2009). President Obama used all the traditional tools to achieve a very difficult bill. The health care reform law, Patient Protection and Affordable Care Act (PPACA), was signed into law in March 2010 (Frontline, 2010). The PPACA and the Health Care and Education Reconciliation Act of 2010 are commonly known as the Affordable Care Act (ACA). Together, these laws are designed to reform health care in America (Day, 2010). The PPACA is a large and complex law, some effects of which are already implemented and some of which will be phased in over the next seven years. Starting in 2010, according to the American Nurses Association (ANA), PPACA states that young adults will be able to continue on their parents' insurance until their 26th birthday and that insurers will be prohibited from imposing exclusions for children with pre-existing conditions; lifetime limits on benefits and restrictive annual limits will be prohibited; new plans issued after 2009 must provide coverage for preventive services without a copayment; high-risk pools will cover uninsured adults with pre-existing health conditions until health care coverage exchanges are operational; seniors to get $250 rebate to help fill 'donut hole' in Medicare's prescription drug system...... middle of paper ...... Retrieved September 15, 2011 from http://www.wid.org8 simple rules for health system reform: a new sounding board [Editorial]. (May 4, 2009). Accessed September 16, 2011 from http://www.ama-assn.orgFrontline. (April 13, 2010). The Obama deal [video file]. Retrieved from http://video.pbs.orgInstitute of Medicine. (2011). The future of nursing: leading change, advancing health. Retrieved September 17, 2011 from http://www.rwjf.org Miller, A. (March 22, 2010). FAQ: How health care reform will affect you. Retrieved September 17, 2011 from http://www.webmd.comThomson Reuters. (March 19, 2010). US Health Care Bill Would Bring Immediate Benefits [Factbox]. Retrieved September 16, 2011 from http://www.reuters.comU.S. Department of Health and Human Services. (nd). Timeline: What changes and when. Retrieved September 17, 2011 from http://www.healthcare.gov