Feb 19, 2020 - Health

California's Affordable Care Act coverage experiment

Photo: Smith Collection/Gado/Getty Images

Covered California, the state's Affordable Care Act exchange, announced yesterday that new enrollment rose 41% in 2020 after the state reinstated the individual mandate and expanded the law's insurance subsidies.

Why it matters: If California is acting as a real-life test case for what happens when policymakers beef up the ACA, the experiment seems to be going well, at least in terms of coverage numbers.

Yes, but: The number of enrollees who renewed their coverage was down 8%, which "could be due to the strong economy. It could also signal a problem retaining consumers due to high costs," the Kaiser Family Foundation's Larry Levitt tweeted.

The big picture: Even the healthiest of marketplaces have had limited success in controlling health care costs. That's likely part of the reason why most Democrats are ready to move beyond the ACA only a decade after it passed.

Go deeper: California's new health care milestones

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Republican voters have moved on from hating the ACA

Data: Kaiser Family Foundation; Chart: Axios Visuals

Republican voters have moved on from the Affordable Care Act, shifting their focus and opposition instead toward Medicare for All.

By the numbers: In our latest Kaiser Family Foundation tracking poll, 19% of registered Republicans said opposition to Medicare for All is their top health care issue, compared to just 3% who said the same for opposition to the ACA.

Go deeperArrowFeb 24, 2020 - Health

The Supreme Court could be Trump's ACA nightmare

Illustration: Sarah Grillo/Axios

The Supreme Court’s next big Affordable Care Act case could be a huge political problem for President Trump.

Why it matters: The Trump administration will spend the next several months urging the court to strip away some 20 million people’s health insurance and to throw out protections for pre-existing conditions. And it may all come to a head just before Election Day.

Go deeperArrowMar 3, 2020 - Health

Supreme Court takes crucial Affordable Care Act case

Photo: Jim Lo Scalzo - Pool/Getty Images

The Supreme Court announced this morning that it will hear a major case against the Affordable Care Act, meaning the health care law's fate will be on the line in the middle of the 2020 presidential election.

Why it matters: The lawsuit — which is supported by the Trump administration — argues that the entire ACA should be struck down, including its most popular provisions, like its pre-existing conditions protections.