The Patient Protection and Affordable Care Act, often shortened to the Affordable Care Act (ACA) or nicknamed Obamacare, is a United States federal statute enacted by the 111th United States Congress and signed into law by President Barack Obama on March 23, 2010.
 The term "Obamacare" was first used by opponents, then reappropriated by supporters, and eventually used by President Obama himself.
 Together with the Health Care and Education Reconciliation Act of 2010 amendment, it represents the U.S. healthcare system's most significant regulatory overhaul and expansion of coverage since the passage of Medicare and Medicaid in 1965.
Paul Richard LePage ( ; born October 9, 1948) is an American businessman and politician who is the 74th and current Governor of Maine.
 Born in Lewiston, LePage grew up with seventeen siblings.
 After some initial difficulty entering college due to speaking French as his first language, he succeeded in obtaining a Bachelor of Science in business administration in finance and accounting from Husson College, later earning a Master of Business Administration from the University of Maine.
 LePage worked for a lumber company in New Brunswick, Canada, from 1972 to 1979 and then for Scott Paper in Winslow, Maine.
 He later founded the business consulting firm LePage & Kasevich Inc and in 1996, he became general manager of Marden's Surplus and Salvage, a Maine-based discount store chain.
ENHANCE International LLC is a management consultancy advising the China Insurance Regulatory Commission and the National Health and Family Planning Commission as China looks to reform health care with the China Demographics challenge of an aging population and a shift from the old communist health system to one that has to catch up with China's expanding economy and rapid growth of chronic diseases.
 ENHANCE International LLC held a conference with white house adviser and Affordable Care Act architect Dr. Ezekiel Emanuel and minister for health reform Mr. Liang Wan Nian under minister Li Bin (politician).
 A key outcome of the meeting is the two commissions' interest in building a model similar to the Affordable Care Act, despite all recent controversy this program has received in the United States.
 ENHANCE International LLC is often quoted and published on China's insurance reform, in most of the major financial news sources including:CNBC, Bloomberg Businessweek, The Wall Street Journal, The Economist, Financial Times and A. M. Best's Best Review.
 ENHANCE International LLC also worked with Sean Chen (politician), the former Premier of Taiwan, when he was the Chairman of the Financial Supervisory Commission (Republic of China) of Taiwan and negotiating the financial Memorandum of Understanding with China.
Graham–Cassidy (sometimes written as Cassidy–Graham) or Graham–Cassidy–Heller–Johnson is the common name for Senate Amendment 1030 ( ) to the American Health Care Act of 2017 ( ).
 S.Amdt.
 1030 was introduced on September 13, 2017, sponsored by Lindsey Graham (R-SC), with Bill Cassidy (R-LA) as a co-sponsor, after whom the amendment is named.
 The other three co-sponsors are Dean Heller (R-NV), Ron Johnson (R-WI), and Roy Blunt (R-MO).
 The amendment would repeal the Affordable Care Act (ACA), also known as Obamacare.
 It would also return control of the Medicaid program to the states and cap the program's funding.
 The amendment would also redistribute federal money differently to different states, with some states that expanded Medicaid under the ACA (which are generally Democratic) losing federal money to states that did not (which are generally Republican).
In the United States, the Medicaid coverage gap refers to the group of uninsured people (in states that have opted out of the Medicaid expansion under the Affordable Care Act (ACA) who are both ineligible for Medicaid under its previous rules, which still apply in these states, and too poor to qualify for the ACA's subsidies and credits that were designed to allow middle-class Americans to purchase health insurance.
 The number of Americans in this gap has been estimated to be almost 3 million as of January 2016, according to the Kaiser Family Foundation.
 The Foundation has also said that 90% of the people in this gap live in the South.
 In states that have not expanded Medicaid, eligibility requirements for Medicaid are limited to parents making 44% or less of the poverty line, and in almost all such states, all adults without children are ineligible.
 The coverage gap results from this and a number of factors, such as the fact that the ACA was designed so that the poor would received coverage through Medicaid and so did not include an alternative program for them.
 For example, as of April 2014, someone living in Texas, a nonexpansion state, had to be making less than $3,737 per year to be eligible for Medicaid, and had to make at least $11,490 (if a single person) or $23,550 (for a family of four) to be eligible for ACA subsidies.
 On November 1, 2015, an episode of Last Week Tonight with John Oliver dedicated its main segment to discussing the Medicaid coverage gap.
The Patient Freedom Act of 2017 was a United States healthcare plan proposed by senators Susan Collins (Maine) and Bill Cassidy (La.) on January 23, 2017, to replace the Affordable Care Act.
 It would have offered states the option to retain the Affordable Care Act, if they chose, or receive a block grant to be used on an alternative plan they prefer.
Maine Question 2, formally titled "An Act To Enhance Access to Affordable Health Care", is a citizen-initiated ballot measure that has qualified for the November 7, 2017 statewide ballot.
 It seeks to expand Medicaid eligibility under the terms of the Affordable Care Act, something which has been vetoed six times by Maine Gov. Paul LePage.
The Center for Medicare and Medicaid Innovation is an organization of the United States government under the Centers for Medicare and Medicaid Services (CMS).
 It was created by the Patient Protection and Affordable Care Act, the 2010 U.S. health care reform legislation.
 "The center is to test innovative payment and delivery system models that show important promise for maintaining or improving the quality of care in Medicare, Medicaid, and the Children's Health Insurance Program (CHIP), while slowing the rate of growth in program costs".
 The center "is to give priority to twenty models specified in the law, including medical homes, all-payer payment reform, and arrangements that transition from fee-for-service reimbursement to global fees and salary-based payment".
 It is "intended to overcome antireform inertia by creating a mechanism for the diffusion of successful pilot programs" without requiring Congressional approval.
A flexible spending account (FSA), also known as a flexible spending arrangement, is one of a number of tax-advantaged financial accounts that can be set up through a cafeteria plan of an employer in the United States.
 A FSA allows an employee to set aside a portion of earnings to pay for qualified expenses as established in the cafeteria plan, most commonly for medical expenses but often for dependent care or other expenses.
 Money deducted from an employee's pay into an FSA is not subject to payroll taxes, resulting in payroll tax savings.
 Before the Patient Protection and Affordable Care Act, one significant disadvantage to using an FSA was that funds not used by the end of the plan year were forfeited to the employer, known as the "use it or lose it" rule.
 Under the terms of the Affordable Care Act, a plan may permit an employee to carry over up to $500 into the following year without losing the funds.
The Commonwealth of Massachusetts passed a health care reform law in 2006 with the aim of providing health insurance to nearly all of its residents.
 The law mandated that nearly every resident of Massachusetts obtain a minimum level of insurance coverage, provided free health care insurance for residents earning less than 150% of the federal poverty level (FPL) and mandated employers with more than 10 "full-time" employees to provide healthcare insurance.
 The law was amended significantly in 2008 and twice in 2010 to make it consistent with the federal Affordable Care Act.
 Major revisions related to health care industry price controls were passed in August 2012, and the employer mandate was repealed in 2013 in favor of the federal mandate (even though enforcement of the federal mandate was delayed until January 2015).
 Because Mitt Romney was the governor of Massachusetts at the time, the law has colloquially been called Romneycare, a reference to the nicknaming of the Patient Protection and Affordable Care Act as "Obamacare".

Question: In what year was the governor of Maine who vetoed six times the expansion of Medicaid eligibility under the terms of the Affordable Care Act born?
Answer: 1948