Share Your ACA Story: Let us know what health care coverage means to you and your family.
It's the 10 Year Anniversary of the Affordable Care Act, and we want to hear how Obamacare has helped you and your family. Your story is a powerful example of why we can't afford to let Donald Trump and the Republican Party destroy the ACA.
Your name: *
Your email address: *
The town or city you live in: *
Share your ACA story in the space below: *
Can we share a quote from your ACA story on social media? *
Thank you for sharing! -New Hampshire Democratic Party
Never submit passwords through Google Forms.
This form was created inside of Report Abuse