On March 23, 2010, President Obama signed into law the Patient Protection
and Affordable Care Act (H.R. 3590). One week later, he signed the Health
Care and Education Reconciliation Act of 2010 (H.R. 4972). Together, these
laws represent the most sweeping health care reforms in U.S. history.
The laws dramatically expand coverage and provide important consumer protections.
They also expand Medicaid and make numerous Medicare payment and policy
changes. Last, but not least, they invest billions of dollars in prevention
and wellness programs, boost physician, nurse and direct care worker education,
and significantly increase the government's capacity to fight fraud
This memorandum describes the most important reforms for individuals with
brain injury and explains the critical role played by the Brain Injury
Association of America (BIAA) in the legislative process. A detailed analysis
of H.R. 3590, as amended, is available from BIAA's Web site at www.biausa.org.