On April 15, President Obama signed into law H.R. 1473, which funds the federal government through September 30, 2011. The measure includes funding reductions for a variety of HHS programs, including certain ACA initiatives. For more information, see our previous report. Also on April 15, the House of Representatives approved H.Con.Res. 34, to establish the federal budget for FY 2012, on a vote of 235 -193. As previously reported, the House budget, drafted by House Budget Chairman Paul Ryan, calls for significant structural reforms of the Medicare and Medicaid program and repeal of the ACA.