The Patient Protection and Affordable Care Act is a U.S. federal statute signed into law by President Barack Obama on March 23, 2010. It is the principal health-care reform legislation of the 111th U.S. Congress. It reforms certain aspects of the private health insurance industry and public health insurance programs, increases insurance coverage of preexisting conditions, expands access to insurance to over thirty million Americans, and increases projected national medical spending while lowering projected Medicare spending. It is expected that each of these promises has or will be broken. The Catholic Medical Association, representing Catholic physicians as well as other concerned Catholic health-care professionals, has and will continue to focus on the harm that such a vast, vague legislation brings to the task of ongoing moral and ethical delivery of health care.