Cassidy was a vocal opponent of the Patient Protection and Affordable Care Act (commonly called Obamacare or the Affordable Care Act), arguing that it would fail to lower costs and give too much decision-making authority to the federal government. In September 2014, the House passed the Employee Health Care Protection Act of 2013 (H.R. 3522; 113th Congress), sponsored by Cassidy, enabling Americans to keep health insurance policies that do not meet all of the Affordable Care Act's requirements. In March 2017, Cassidy sent a letter to one of his constituents that falsely asserted that Obamacare "allows a presidentially handpicked 'Health Choices Commissioner' to determine what coverage and treatments are available to you."