Opening TextShare your story about rising health care costs and the impact on your family.Health Insurance ImpactHow much do you expect your health care premiums to rise next year?What will these increased costs mean for you and your family?How will cuts to Medicaid and the Affordable Care Act impact you?Contact InformationFirst Name:MI:Last Name:Suffix:- None -2nd3rd4thIIIIIIVJr.Sr.M.D.PH.D.and FamilyContact DetailsCongressional District:If known, please enter your congressional district (e.g., VT-AL, CA-12)Email:(Optional) CAPTCHA: enabled to secure this form. If you are having difficulty using Captcha's visual option, please visit the Accessibility page for more assistance.
