<Tr> <Td> <Ul> <Li> </Li> <Li> </Li> <Li> </Li> </Ul> </Td> </Tr> <Ul> <Li> </Li> <Li> </Li> <Li> </Li> </Ul> <P> Healthcare reform in the United States has a long history . Reforms have often been proposed but have rarely been accomplished . In 2010, landmark reform was passed through two federal statutes enacted in 2010: the Patient Protection and Affordable Care Act (PPACA), signed March 23, 2010, and the Health Care and Education Reconciliation Act of 2010 (H.R. 4872), which amended the PPACA and became law on March 30, 2010 . </P> <P> Future reforms of the American health care system continue to be proposed, with notable proposals including a single - payer system and a reduction in fee - for - service medical care . The PPACA includes a new agency, the Center for Medicare and Medicaid Innovation, which is intended to research reform ideas through pilot projects . </P>

When was the health care reform bill passed
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