Altmire voted against the Affordable Care Act on March 21, 2010; he had also voted against earlier versions of the bill. His vote on final passage of the bill was highly sought after by President Obama and Democratic congressional leaders. According to Washington Post health care policy writer CeCi Connolly, "Altmire, more than most in Congress, understood the intricacies of health-care policy. As a congressional aide in the 1990s, he had worked on Clinton's failed effort and later became a hospital executive." Days before the vote on final passage of the bill, President Obama had personally tried to persuade Altmire, telling him "I want to give you something to think about before the vote. Picture yourself on Monday morning. You wake up and look at the paper. It's the greatest thing Congress has done in 50 years. And you were on the wrong team." After leaving Congress in 2013, Altmire became the executive of a Florida health insurance company and expressed support for the Affordable Care Act.