Fiorina was critical of the Affordable Care Act (ACA) health care reform legislation during the debate in 2009 that led to the act's passage. Fiorina has supported repealing the ACA during both her 2010 Senate run in California, and in her 2015 presidential campaign. Fiorina has called the law "deeply flawed" and a "vast legislative overreach." Fiorina supports an individual mandate that would require individuals to carry "high-deductible 'catastrophic care' insurance plans and use federal dollars to subsidize state-based high-risk pools to provide care for those who otherwise cannot afford it."