For the first time in U.S. history, every American will have access to affordable, quality health care under the legislation update on health insurance reform passed by the House. “The Affordable Health Care for America Act, or HR 3962, mixes and updates the three versions of previous bills passed by House committees. » (Kruger, M. 2010) This bill should alleviate uncontrollable health care costs. insurance, introduce competition to the health care market that will help maintain coverage affordability, protect the choices of doctors and health plans, and ensure all Americans have access to quality care. quality, consistent and affordable health care. The Association of American Medical Colleges said in a March 21, 2010 article: "We have taken the first step toward truly transforming health care in this country. This historic vote by the House of Representatives launches long-overdue efforts to cover 32 million uninsured Americans and ensure their access to high-quality care Medical schools and teaching hospitals have expressed their full support for this bill to President Obama and are now ready to work with the. administration and Congress to implement these important changes in our health care delivery system (AAMC, 2010) The health care reform bill creates shared responsibility for health care among individuals, employers. and government to ensure that all Americans have essential, affordable health benefits. Two of the key, and perhaps most debated or criticized, elements of the bill. The Affordable Health Care for America Act includes individual mandates and health insurance exchange subsidy programs. Middle of paper individual health insurance mandates...... will be reported to those who do not. conform ? Social workers in health care settings will be influenced more radically than others. They will have to face certain changes in the health care delivery system; things such as; shortage of doctors and nurses, changes in payment options and follow-up care, etc. Although it may seem easier because everyone is supposed to have insurance, what plan do they have, what does it cover, is it current, and more. Other issues that will affect social workers are that with the growing insured population, will there be beds available in nursing facilities and hospitals, services and follow-up care appointments available in timely. There will also be changes to Medicare and other programs that will influence the field of social work. Assisting with enrollment and maintenance of insurance will also be a concern.