Say what you want about George W. Bush and his often-debated legacy, but the 43rd president has made a significant impact on the benefits industry.

Among his policies, President Bush made two landmark changes affecting the way millions of Americans view and pay for their health care.

On Dec. 8, 2003, Bush signed the "Medicare Prescription Drug, Improvement, and Modernization Act," which produced the largest overhaul of Medicare in the public health program's history since its 1965 founding.

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