In March 2010, after Obama announced an executive order reinforcing the current law against spending federal funds for elective abortion services, the House passed the Patient Protection and Affordable Care Act. The bill, which had passed the Senate in December 2009, did not receive a single Republican vote in either house. On March 23, 2010, President Obama signed the PPACA into law. On March 23, 2010, President Obama signed the PPACA into law. The New York Times described the PPACA as 'the most expansive social legislation enacted in decades,' while the Washington Post noted that it was the biggest expansion of health insurance coverage since the creation of Medicare and Medicaid in 1965. Both houses of Congress also passed a reconciliation measure to make significant changes and corrections to the PPACA; this second bill was signed into law on March 30, 2010.