The period of 2003-2013 can be examined and discussed with references to the significant pieces and events in the sphere of health care legislation in the United States. Thus, in 2004, President Bush proposed to focus on the implementation of technologies in the health care industry in order to reduce medical errors, and the first laws associated with the electronic record systems were designed in 2004. As a result, the legislation process started, and it ended in 2009 with implementing the Health Information Technology for Economic and Clinical Health Act.
The Patient Safety and Quality Improvement Act was developed and implemented in 2005 in order to control the aspects of patient safety with the help of the designed national database and to improve the connections between the health care organizations and insurance companies. At the state level, the Massachusetts insurance reform law can be discussed as the most important legislation piece because the first improvements to the state insurance system were proposed with the help of the legislation, and the act was signed into law in 2006.
Nevertheless, the most important changes in the health care legislation are associated with the Patient Protection and Affordable Care Act signed in 2010. Health care debates on the aspects of the US insurance system and accessibility of the health care services for the population were observed during the period of 2008-2010. These debates resulted in developing the provocative law oriented to lowering the costs of medical care because of reforming the insurance system but requiring significant changes in the whole health care system.