In contrast to Bill Clinton's 1993 plan to reform health care, Obama adopted a strategy of letting Congress drive the process, with the House and Senate writing their own bills. Both bills expanded Medicaid and provided health care subsidies, while establishing an individual mandate, health insurance exchanges, and a ban on denying coverage based on pre-existing conditions. However, the House bill included a tax increase on families making more than $1 million per year and a public health insurance option, while the Senate plan included an excise tax on high-cost health plans. 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.
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