Upton voted against passage of the Affordable Care Act (ACA) and has since voted in favor of its complete repeal. In November 2013, in response to Americans losing their health insurance coverage because of the ACA, Upton proposed a bill what would allow them to retain their health insurance coverage. The essence of the Upton bill is to allow insurance companies to maintain their current individual insurance market policies according to state insurance rules that are in effect as of 2013. In 2017, Upton played an import role advancing Republican Party efforts to repeal the Affordable Care Act.