The American Nurses Association (ANA), the largest multi-purpose nursing organization in the country, applauds Senate lawmakers for passing H.R. 3590, "The Patient Protection and Affordable Care Act." This landmark legislation was approved by a vote of 60-39. ANA had urged passage of the legislation and its most recent letter of support, one of several sent to members of Congress, was read on the Senate floor by Majority Whip Dick J. Durbin (D-IL). ANA has been a tireless advocate for health care reform which creates a system that is responsive to the needs of consumers, provides access to safe, high-quality cost-effective care for all, and recognizes the vital role played by nurses.