A major health care reform bill was signed into law in 2010,one of the central tenets was the creation of:

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The creation of a new insurance marketplace for individuals and families without insurance was a central tenet of the health care reform bill that was signed into law in 2010, known as the Affordable Care Act (ACA). This marketplace, also known as the health insurance exchange, allows individuals and small businesses to shop for and compare different health insurance plans, and provides subsidies to those who qualify based on income. The ACA also includes a number of other reforms, such as the expansion of Medicaid and the prohibition of insurance companies from denying coverage based on pre-existing conditions.

A Major Health Care Reform Bill Was Signed into Law