Dec 7, 2019 - Health

The return of the ACA wars

Illustration: Sarah Grillo/Axios

The Affordable Care Act is no longer the center of the national political debate, for the first time in nearly a decade. But it could quickly come roaring back to the fore.

What we're watching: A federal appeals court is set to rule any day now on whether the ACA's individual mandate is unconstitutional (yes, that again) — and, if so, how much of the rest of the law would have to fall along with it.

Why it matters: During oral arguments over the summer, the three-judge panel seemed likely to strike down at least some of the ACA.

  • That would put popular policies, like guaranteed coverage for pre-existing conditions, back on the chopping block and thus back at the center of the health care debate.
  • A ruling ultimately striking down the entire law — the outcome the Trump administration is arguing for — would have even bigger ramifications, upending more technical parts of the ACA.
  • The FDA would have to stop approving certain kinds of drugs, for example, and changes to Medicare, including new powers the Trump administration has relied on, would go away.

What's next: The 5th Circuit Court of Appeals could rule any time. If it upholds the health care law (which would be a surprise), there's a good chance that could be the end of all this.

  • But if that court strikes down any part of it, get ready for another big battle at the Supreme Court.

Go deeper

The latest: George Floyd protests nationwide

Police officers wearing riot gear push back demonstrators outside of the White House on Monday. Photo: Jose Luis Magana/AFP via Getty Images

Protests over the death of George Floyd and other police-related killings of black people continued for a seventh day across the U.S., with President Trump threatening on Monday to deploy the military if the unrest continues.

The latest: Washington, D.C., Mayor Muriel Bowser criticized federal police in a tweet Monday night for using munitions earlier in the day "on peaceful protestors in front of the White House, an act that will make the job of (DC Police Department) officers more difficult." "Shameful!" she added as she urged residents to go home and stay safe.

3 hours ago - World

The world watches America burn

Newspaper front pages via the Newseum

The world is watching the grief and anger, violence and pain in America's streets.

The big picture: The U.S. accounts for nearly one-third of the world's deaths from COVID-19. The killing of a black man, George Floyd, by police has sparked days of protest and nights of chaos in America's major cities.

Trump walks to historic St. John's Church outside White House as protests rage

President Trump walked to the historic St. John’s Episcopal Church, located just steps away from the White House across Lafayette Park, on Monday night as protests linked to the murder of George Floyd raged across the capital and cities around the country.

What we're seeing: Military police and park rangers used physical force and tear gas on peaceful protestors to clear the area so that Trump could "pay respects" to the church that was damaged by a fire on Sunday.