updated June 16, 2026
It has been the greatest honor of my life to serve as your President. And while it has been my intention to seek reelection, I believe it is in the best interest of my party and the country for me to stand down and to focus solely on fulfilling my duties as President for the remainder of my term.
President Joe Biden
With that surprising announcement on July 21, 2024, we learned that Joe Biden would not have a second term as President of the United States.
This post now serves as a reminder of what he accomplished in healthcare as President.
The Biden Healthcare Record
The Patient Protection and Affordable Care Act, referred to as the Affordable Care Act or “ACA” for short, is the comprehensive health care reform law enacted in March 2010 during the Obama-Biden administration, hence the frequently used nickname “ObamaCare.”
The following unedited data from the KFF website includes Biden’s policies on the Affordable Care Act, cost of medical care, prescription drug pricing, public health, and mental health.
KFF is a nonprofit health policy research, polling, and news organization.
Affordable Care Act
- Signed the American Rescue Plan Act (ARPA), which temporarily expanded eligibility for and increased ACA Marketplace subsidies. These were extended by the Inflation Reduction Act (IRA) through 2025.
- Fixed the “family glitch,” allowing dependents of people with unaffordable employer-based family coverage to receive ACA subsidies.
- Reversed Trump administration expansion of short-term plans and restored outreach and enrollment assistance and funding.
- Achieved record-high enrollment in ACA Marketplace plans.
- Biden proposes to build on legislation passed during his term and make expanded subsidies offered under the IRA permanent.
- Proposed a public option health plan during the 2020 campaign but did not issue a formal plan once in office.
Health Care Costs
- Under his administration, the Consumer Financial Protection Bureau proposed a rule that would remove medical debt from consumer credit reports. Biden also proposes that in the first 100 days of his next term, he would “wipe out” medical debt for “pennies on the dollar.”
- In 2021, began implementing the No Surprises Act, establishing processes to determine payments for out-of-network bills and resolving payment disputes.
- Proposed expanding surprise billing protections to ground ambulance providers.
- Expanded the Trump-era rules on price transparency to address implementation challenges and enforce the legislation.
- Signed the Inflation Reduction Act, empowering Medicare to negotiate prices for certain drugs with pharmaceutical companies and increase subsidies for ACA marketplace plans (more details in Prescription Drug Prices section).
- Proposed a public option health plan during the 2020 campaign but did not issue a formal plan once in office.
Prescription Drug Prices
- Signed the Inflation Reduction Act, which requires the government to negotiate prices for some Medicare-covered drugs (with the number growing over time), requires drug companies to pay rebates if prices rise faster than inflation, caps out-of-pocket drug spending, and limits monthly insulin costs to $35 for Medicare beneficiaries in Part B and all Part D plans, improves financial assistance for low-income beneficiaries, and other changes.
- Proposes to expand the number of drugs selected for government price negotiation and extend $35 insulin copay cap and drug out-of-pocket cap to people with commercial insurance.
- Approved Florida’s plan to import some prescription drugs from Canada; implementation contingent on further action by Florida.
- Delayed implementation of the Trump Administration’s drug rebate rule until 2032, which will delay projected increases in Medicare spending.
- Established a voluntary model to increase access to cell and gene therapies for people with Medicaid.
Public Health
- Committed to listening to science, public health advice, and evidence-based guidance in the COVID-19 response.
- Enacted new federal COVID response policies such as mask and vaccine mandates, expanded access to testing and vaccines, and a major effort to bolster the national public health workforce.
- Focused on federal responsibility for giving states “the critical supplies they need.”
- Established a new White House Office of Pandemic Preparedness and Response Policy.
- Initiated a CDC reorganization and modernization project “to better share science and data to better serve and protect the American public.”
- Has proposed significant increases in the nation’s public health budget each year, including in the FY 2025 budget, which calls for $20 billion in new mandatory funding for pandemic preparedness and response, and $12 billion over ten years for a new Vaccines for Adults program.
- Started new initiatives to combat health misinformation and address health inequities.
Mental Health
- Supported and signed the Safer Communities Act, which included provisions to increase school mental health and substance use services (building on Biden’s American Rescue Plan Act) and strengthen state requirements for Medicaid-enrolled youth in response to worsening youth mental health.
- Launched the Kids Online Health and Safety Task Force to protect children’s mental health and safety from online harm. The Surgeon General appointed by Biden has also called for warning labels on social media platforms.
- Enhanced behavioral health access opportunities for Medicaid enrollees by establishing maximum appointment wait times, surveying enrollee experiences, and adding rate transparency policies, which may result in improved rates and more provider participation.
- Expanded the Medicaid CCBHC Demonstration by adding 10 new states to the program.
- Enhanced crisis care by building up 988 and mobile crisis services, and released the National Strategy for Suicide Prevention, with focus on high-risk groups (e.g., LGBTQ+, veterans, moms).
- Proposed updated requirements for health plans in order to comply with mental health parity.
Source-KFF
“Compare the Candidates on Health Care Policy”, KFF, July 15, 2024, https://www.kff.org/compare-2024-candidates-health-care-policy/(accessed July 23, 2024)
KFF’s website content is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) license that allows for the sharing of information with proper attribution and without alteration.
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NIH Director Dr. Monica Bertagnolli joins President Joe Biden at the signing of the Presidential Memorandum on Women’s Health Research
President Joe Biden, joined by First Lady Jill Biden, signs the Presidential Memorandum on Women’s Health Research. NIH Director Dr. Monica Bertagnolli and Office of Research on Women’s Health Director Dr. Janine Clayton (on right) attended this historic event. Credit: Official White House Photo by Adam Schultz; Public Domain
