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Today marks the five-year anniversary of the Patient Protection and Affordable Care Act (ACA), and a lot has changed in the past five years. Thanks to the ACA, the 129 million non-elderly Americans with pre-existing health conditions can no longer be denied coverage or charged more because of their pre-existing condition. Also, millions of low-income individuals are now eligible for Medicaid thanks to ACA expansion of the program. And, a March 16, 2016 Department of Health and Human Services report states that 16.4 million uninsured people have gained health insurance coverage since 2010 under the Affordable Care Act. These improvements, among many others, on the five year anniversary of the ACA are a cause to celebrate and rededicate our commitment to affordable and accessible care for all.