The Affordable Care Act (ACA) is again before the U.S. Supreme court in California v. Texas (pdf). Oral arguments over the constitutionality of the ACA's individual mandate were presented on Tuesday, November 10, 2020. You can view the recording or read the transcript (pdf).

While the justices appeared skeptical of striking down the ACA in its entirety, statements made during oral argument are not binding. It's impossible to discern how the nine justices will rule, and it will be a while before we know the outcome. The court isn't expected to issue a decision until Spring 2021. In the meantime, the ACA remains in full effect. 

As a refresher, some of the ACA protections (“patient’s bill of rights”) include:

  • Young adult coverage until age 26
  • Preventive care at no cost
  • Removing lifetime limits on coverage
  • Preexisting condition coverage
  • Choice of healthcare provider
  • Access to emergency services (out-of-network ER coverage)
  • Non-discrimination based on age, race, sex, national origin, religion, sexual orientation, or disability
  • The right to appeal carrier decisions

Also, these states and D.C. have ACA state individual mandates:

  • California
  • Massachusetts
  • New Jersey
  • Rhode Island
  • Vermont
  • Washington D.C.

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