President Obama has signed the Patient Protection and Affordable Care Act (Pub. L. No. 111-148) and an associated reconciliation bill that fixes certain fiscal elements in the Act. The Act is intended over ten years to expand health coverage to 32 million uninsured Americans and reduce the Federal budget deficit by $143 billion, while banning discrimination on the basis of pre-existing conditions, gender or health status, and ending lifetime and annual limits on health benefits.