Affordable Care Act

The big picture

The Supreme Court could be Trump's ACA nightmare

The lawsuit could come to a head just before Election Day.

Mar 3, 2020
The ACA is doing fine without a mandate penalty

The success undercuts a lawsuit against the ACA.

Jan 14, 2020
The political risk of overturning the ACA

Swing states and red states would stand to lose the most.

Dec 20, 2019
Trump's all-or-nothing ACA gamble

We've seen this movie before — in 2012, at the Supreme Court.

Mar 27, 2019

All Affordable Care Act stories

Trump says executive order on pre-existing conditions would be a "signal" on GOP stance

President Trump told reporters on Monday that his executive order to support insurers covering pre-existing conditions would be a "signal" to show Americans where Republicans stand on the issue.

Why it matters: The Trump administration is currently arguing before the Supreme Court that the Affordable Care Act — which enforces the policy that Trump is referencing — should be struck down.

Trump may lose swing voters by asking SCOTUS to strike down the ACA

Data: KFF; Graphic: Axios Visuals

President Trump’s decision to ask the Supreme Court to throw out the Affordable Care Act may alienate the independent voters who can swing the presidential election. That could be especially important in battleground states.

The big picture: Many of the ACA’s benefits are hugely popular with independents — even beyond protections for people with pre-existing conditions, which gets the most attention.

Jun 26, 2020 - Health

Trump administration asks Supreme Court to overturn ACA

Photo: Drew Angerer/Getty Images

The Trump administration formally asked the Supreme Court on Thursday to overturn the Affordable Care Act, AP reports.

Why it matters: Nearly 20 million Americans could lose health care coverage and protections for those with pre-existing conditions if the court rules to overturn ACA.

Biden campaign plans to hit Trump on efforts to dismantle Obamacare

Photo: Jim Watson/AFP via Getty Images

The Biden campaign plans to seize upon Trump’s Tulsa claim that he asked officials to "slow the [coronavirus] testing down, please" to focus on Trump’s broader policy goal of dismantling the Affordable Care Act. (Trump’s campaign later said he was joking.)

The Biden strategy is pretty straightforward: Reiterate Biden’s commitment to Obamacare while signaling that he is open to revising it with a public option — all while drawing a contrast with President Trump, who continues to call for its repeal.

May 10, 2020 - Health

Lamar Alexander knocks Trump for pushing ahead with Obamacare lawsuit

Senate Health Committee Chairman Lamar Alexander (R-Tenn.) expressed disapproval on Sunday of the Trump administration's decision to continue backing a lawsuit seeking to strike down the entire Affordable Care Act.

What he's saying: "I thought the Justice Department argument was really flimsy," Alexander said on NBC's "Meet the Press." "What they're arguing is that when we voted to get rid of the individual mandate, we voted to get rid of Obamacare. I don't know one single senator who thought that."

Apr 27, 2020 - Health

Supreme Court says federal government must pay health insurers billions

Photo: Drew Angerer/Getty Images

The federal government must pay health insurance companies roughly $12 billion that they're owed under part of the Affordable Care Act, the Supreme Court ruled Monday in an 8-1 decision.

The big picture: The ACA's "risk corridors" program was designed to help stabilize the law's insurance markets in their early years, but the Trump administration argued that Congress had prohibited it from making the required payments. The Supreme Court disagreed, saying insurers have a right to collect the money they're owed under the program.

Apr 15, 2020 - Health

The newly uninsured can turn to a stable ACA market

Losing job-based health coverage qualifies people to sign up for an ACA plan. Photo: Joe Raedle/Getty Images

People losing their employer-based health insurance in the coronavirus economy would find a pretty stable Affordable Care Act market if they need it — not that the Trump administration is advertising that fact.

Why it matters: ACA plans will be an important backstop for some newly uninsured people, many of whom could likely find affordable coverage on the law's insurance marketplaces.

Mar 30, 2020 - Health

The coronavirus is exposing the holes in employer health insurance

Illustration: Sarah Grillo/Axios

A record 3.3 million people filed for unemployment in one week, in the wake of the coronavirus outbreak, but people didn't just lose their jobs. Many also lost the health insurance that came with the job.

Why it matters: U.S. workers, even those who feel relatively secure in their health benefits, are a pandemic away from falling into the ranks of the uninsured.

Mar 9, 2020 - Health

Major Blues health insurer sues to recoup ACA funds

HCSC headquarters in Chicago. Photo: Raymond Boyd/Getty Images

Health Care Service Corp. is suing the federal government, arguing it is owed $2 billion from the Affordable Care Act's risk corridors program, which was put in place to mitigate insurance company losses in the law's early years.

Between the lines: The timing of the lawsuit is odd. Several other health insurers have already sued the feds over unpaid risk corridors claims, which led to the Supreme Court hearing their arguments this past December. However, a spokesperson for HCSC, which owns five Blue Cross Blue Shield affiliates, said the company is "not speculating on how the SCOTUS will rule."

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