One piece of the Patient Projection and Affordable Care Act, or Health Care Reform, implementation involves creation of Pre-Existing Condition Insurance Plans to offer options to those, such as people diagnosed with HIV but without access to employer-provided health insurance, who typically can't get affordable heatlh care coverage. As comments to the Department of Health and Human Services' Centers for Medicare & Medicaid Services point out, the signficance of this option will be seriously diluted if premium costs, coverage of reproductive health services, overly long waiting periods, and other problems aren't addressed.