The President's health reform proposal aims to expand access to coverage and make health care more affordable for low- and middle-income Californians. According to estimates, close to 4 million Californians who were uninsured or had unaffordable employer-sponsored insurance in 2007 would qualify for Medicaid or subsidized coverage in the exchange. Those with an income of $14,404 a year would save $5,159 on average on premiums and out-of-pocket costs under the proposal compared to what they would spend in the current individual market. Californians with an income of $43,320 a year would save $904 a year under the proposal.