because of the amazing work of president obama and our incredible and amazing leader congresswoman nancy pa loes si, in march of 2010, president obama signed the comprehensive health reform that we probably have heard a lot in the last couple of years. it is the patient protection and affordable care act which many people referred to as the aca or obama care which is something that we have affectionately appropriated because the term was use ined a derogatory way, we think it's a positive way, this law does many things but perhaps most importantly, it makes preventive care more accessible and more affordable for so many americans and i'm excited to be here to begin a series of hearings that we will be holding on the affordable care act so that we have in san francisco a smooth as transition and implementation as possible. today's hearing will focus on how the aca and our local health care security ordinance work in tandem to make health care and health insurance truly accessible to as many san franciscans as possible. you know, the thing about the health care security ordinance, it was really an ex