All Americans – including older Americans and people with disabilities – should have the choice to live at home with the supports they need rather than having to enter an institution to access support services. The Affordable Care Act, the health care law signed by President Obama on March 23, 2010, brings us closer to making this a reality. The law includes new options to help older Americans and individuals with disabilities stay in their homes, receive care in the settings of their choosing, and retain control over their own decision-making. The Affordable Care Act also makes health care more accessible and affordable, a key element of healthy, stable life in the community.