All Affordable Care Act stories

Jan 23, 2020

Trump's selective urgency at the Supreme Court

Photo: Samuel Corum/Getty Images

The Trump administration has consistently tried to get controversial cases in front of the Supreme Court as quickly as possible — but not when that might have meant striking down the entire Affordable Care Act before the 2020 election.

Why it matters: Trump’s Justice Department has tried to leapfrog the traditional process far more than its predecessors did, and at least one Supreme Court justice seems to be worried that it’s affecting the court’s work.

Jan 21, 2020

Supreme Court won't fast-track Affordable Care Act case

Photo: Samuel Corum/Getty Images

The Supreme Court said Monday that it won't speed up a lawsuit that aims to strike down the entire Affordable Care Act. The law's defenders had asked the high court to step in earlier than usual, but the justices opted to let the normal appeals process run its course instead.

Why it matters: This unsurprising move all but ensures that the court won't decide the ACA's fate until after the 2020 presidential election. If the justices ultimately do strike down all or part of the health care law, President Trump won't have to answer for the ensuing disruption during a campaign — and it could end up being his successor's mess to clean up.

Go deeper: The ACA legal fight isn't even close to over

Jan 17, 2020

Supreme Court will hear another ACA contraception case

Affordable Care Act supporters hold up signs outside the Supreme Court. Photo: Bill Clark / Contributor

The Supreme Court agreed on Friday to take up yet another case involving the Affordable Care Act's contraception mandate, which requires most employers to cover birth control in their workers' health care plans.

Where it stands: The court has already said that employers must be able to get an exemption from the contraception mandate if they have a religious objection to the policy. Broadly, the question the court is taking up now is whether the Trump administration has been too permissive with those exemptions. The court will likely rule in early summer.

Go deeper: The ACA legal fight isn't even close to over

Jan 16, 2020

Coverage gains for people of color are slowing

Reproduced from The Commonwealth Fund; Chart: Axios Visuals

The Affordable Care Act reduced racial disparities in health insurance, but that progress has stalled since 2016, a new Commonwealth Fund analysis says.

Between the lines: The uninsured rate among people of color leveled off in 2016, and racial disparities in actual care still persist, even with lower uninsured rates.

Jan 15, 2020

Humana expects "substantial" benefit from spiking ACA tax

Humana CEO Bruce Broussard. Photo: Steven Ferdman/Getty Images

Humana CEO Bruce Broussard told investors at a small Goldman Sachs conference last week that the recent repeal of the Affordable Care Act's health insurance tax is "a substantial benefit to the company's stakeholders," according to a summary of the meeting from Goldman Sachs.

The bottom line: This policy reversal will translate into hundreds of millions of dollars going toward Wall Street, but Broussard was more sheepish at the J.P. Morgan Healthcare Conference this week, where he would not say exactly how much of that money would be booked as profit.

The ACA is doing fine without a mandate penalty

Photo: Samuel Corum/Anadolu Agency/Getty Images

The Affordable Care Act’s insurance market has not been materially affected by the elimination of the individual mandate penalty — undercutting a key argument in the lawsuit urging the courts to strike down the health care law.

The big picture: Healthy enrollees have not left the market in droves, premiums have not spiked and there has been no market death spiral.

Dec 20, 2019 - Health

The political risk of overturning the ACA

Data: Urban Institute Health Policy Center; Note: Uninsured rate is among the nonelderly population. Map: Danielle Alberti/Axios

Swing states and red states stand to lose the most if the courts ultimately throw out the Affordable Care Act, according to a new analysis by the Urban Institute.

Why it matters: President Trump and Republican attorneys general could pay a steep political price if they succeed in their quest to kill the law.

Dec 19, 2019

The ACA legal fight isn't even close to over

Illustration: Lazaro Gamio/Axios

The Affordable Care Act’s fate will still be up for grabs in the courts well after the 2020 election, thanks to a decision last night from a panel of the 5th Circuit Court of Appeals.

Driving the news: In a 2-1 ruling, the panel said the ACA’s individual mandate is unconstitutional. But the court declined to say how much of the rest of the law should fall along with it, instead punting that question back to a lower court to reconsider.

Dec 18, 2019

Appeals court strikes down ACA's individual mandate

A U.S. Court of Appeals on Wednesday ruled that the Affordable Care Act's individual mandate is unconstitutional, but ordered a lower court to take a fresh look at how much of the rest of the law should fall along with it.

What's next: This decision will likely keep the ACA's protections for pre-existing conditions in legal limbo well past the 2020 election.

Updated Dec 16, 2019

Government funding bill deal will repeal key ACA taxes

Photo: Yasin Ozturk/Anadolu Agency via Getty Images

Congress is expected to soon announce a deal to repeal the Affordable Care Act's health insurance, medical device and "Cadillac" employer health plan taxes — and to raise the smoking age to 21, according to a senior House Democratic aide familiar with talks.

Why it matters: The decision is a colossal win for the health care industry.