"The facts are these: Since the enactment of the Affordable Care Act, the growth in healthcare costs has slowed dramatically. That includes the cost paid by government, by businesses and individuals," she said, according to accounts from The Hill , ABC and CNN . Pelosi said that increases in health care premiums that many Americans face would have been greater if not for the law. Health insurance trade groups have said that premiums may as much as double this year in some parts of the country.