Having hemophilia all his life, Paul understood the importance of a job with good health insurance benefits and sought work in the federal government. After five years, Paul left his position in government and enrolled in a health insurance continuation of coverage which lasted eighteen months. When this extension ran out he enrolled in an individual plan in Virginia with a $1 million cap. In three years, Paul exhausted this policy because of costs related to the treatment of hemophilia. With options to change jobs, move to another state, or apply for disability status, Paul was faced with some very tough decisions. As it turned out, the company where Paul works enrolled him in an employee plan with a $6 million cap; Paul has already used about $1 million worth of coverage. The Affordable Care Act will lift this cap on how much health care he can receive.