On March 23, 2010, President Obama signed into law the Patient Protection and Affordable Care Act, which is designed (with its companion set of amendments in H.R. 4782) to provide coverage to 32 million people, adopt broad-reaching reforms in insurance industry practices, make major new investments in public health, and reduce the federal deficits. This fact sheet describes the key Medicaid, CHIP, and low-income provisions in health care reform.