Affordable Care Act in New York

October 1, 2013 Updated Oct 1, 2013 at 1:18 PM EDT

By Rachel Elzufon

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October 1, 2013 Updated Oct 1, 2013 at 1:18 PM EDT

Buffalo, NY (WKBW) - Public health care is now a reality in the United States, with the Affordable Care Act taking effect.

States across the country are required by law to come up with a way to help residents without insurance find health care options. Every U.S. citizen must have health care by March of 2014, or they else face a hefty fine.

New York State has created the New York State of Health.

Lieutenant Governor Robert Duffy (D) came to New York to announce the launch of the program.

"There are a whole list of insurers a part of this program," Duffy explains. "They've all been certified by the state, they've all been certified by the state, they had to go through an intensive process. They provide from doctors visits to taking care of catastrophic illnesses."

The New York State of Health is just a click of a mouse away. Online, it shows four different types of color-coded coverage. Each option has different costs and benefits for those enrolling.

However, the website already crashed Tuesday morning. It went up at 8 a.m. and got more than two million hits within just a few hours.

There are more than three million people in New York without health insurance. About 180-thousand Western New Yorkers are uninsured.

About 1.1 million New Yorkers, including 80-thousand Western New Yorkers, are expected to use the New York State of Health.