Courts and the Affordable Care Act

The U.S. Supreme Court heard oral arguments in California v. Texas, the Affordable Care Act (ACA) repeal lawsuit, on November 10, 2020. The case was brought by a number of Republican state attorneys general and supported by the Trump administration. President Donald Trump long pledged to appoint judges who would side with his administration’s political interests and rule to overturn the ACA. The death of Justice Ruth Bader Ginsburg—and the rushed process to attempt to replace her—dramatically heightened the chance that the court would strike down the law and upend its previous decisions to uphold it. Overturning the ACA would throw the nation’s health care system into chaos and be disastrous for the health and economic security of millions of Americans. The Center for American Progress provides coverage and analysis on the impact of the health care repeal lawsuit, including how it would harm people with preexisting conditions and disabilities, communities of color, women, young people, families, and low-income families.

In this series

Compact View

10 Ways the ACA Has Improved Health Care in the Past Decade Article
Then-President Barack Obama waves after speaking at an event on the 90-day anniversary of the signing of the Affordable Care Act, June 22, 2010, in the East Room of the White House. (Getty/Mandel Ngan)

10 Ways the ACA Has Improved Health Care in the Past Decade

The health care law provides coverage for millions of Americans and protects people with preexisting conditions, but it remains under threat from a Trump administration-backed lawsuit.

Nicole Rapfogel, Emily Gee, Maura Calsyn

Affordable Care Act Repeal by State Interactive
 (Getty/Brendan Smialowski/AFP)

Affordable Care Act Repeal by State

This interactive allows users to see the harms that would result if the Affordable Care Act were repealed, with data for all 50 states and the District of Columbia.

Nicole Rapfogel, Emily Gee, Mathew Brady

Chief Justice Roberts and the Legitimacy of the Judiciary Article
President Donald Trump shakes hands with Chief Justice John Roberts before the State of the Union address, February 2020. (Getty/Leah Millis-Pool)

Chief Justice Roberts and the Legitimacy of the Judiciary

As the Trump administration ramps up its attacks on the judiciary, this year’s Supreme Court docket has the potential to define the legacy of the Roberts court.

Maggie Jo Buchanan

Court Ruling Against ACA Hurts Patients and Destabilizes Health Insurance Markets Article
A doctor uses a stethoscope during an examination of a patient in Dorchester, Massachusetts, April 2006. (Getty/Joe Raedle)

Court Ruling Against ACA Hurts Patients and Destabilizes Health Insurance Markets

The appeals court in the Texas v. United States health care repeal lawsuit ruled the Affordable Care Act’s individual mandate unconstitutional but left in doubt the rest of the law, fueling uncertainty that could harm markets in the near term.

Nicole Rapfogel, Emily Gee, Charles Gaba

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