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Supreme Court to Review ACA Challenge, Outcome Could Depend on Election Results

 September 23, 2024

The Biden administration has urged the U.S. Supreme Court to revisit a lower court decision that struck down parts of the Affordable Care Act's preventive care mandates as unconstitutional.

The case underscores ongoing legal battles against the legislation known as Obamacare, despite a recent decline in political efforts to dismantle the law, as CNN reports.

The Supreme Court has been approached to re-evaluate aspects of the Affordable Care Act (ACA) concerning mandates that allow for no-cost preventive healthcare. This includes critical services like cancer screenings and specific heart medications.

Recently, conservative-leaning lower courts found these sections of the ACA unconstitutional, raising concerns about future access to these essential health services.

On Thursday, the Biden administration filed an appeal with the high court to reverse this ruling, emphasizing the broad implications for national healthcare coverage.

Legal Implications and the Timeline for Supreme Court's Decision

The fate of the ACA's preventive care provisions now hangs in balance, with the Supreme Court's decision on whether to take up the case expected sometime after the election. This timeline highlights the politicized nature of healthcare reform in the U.S.

The case, originating from Texas, involves plaintiffs challenging the federal mandate that insurers provide these preventive services at no cost to consumers.

The 5th U.S. Circuit Court's decision pointed to procedural issues in appointing members to the U.S. Preventive Services Task Force, which underpins these mandates.

Biden Administration Champions ACA Protections

In their Supreme Court filing, the Biden administration argued that overturning the lower court's decision is crucial to maintaining health protections for millions of Americans.

The administration contends that the 5th Circuit's ruling disrupts vital components of the ACA, potentially stripping millions of Americans of cost-free preventive services.

U.S. Solicitor General Elizabeth Prelogar stated, "This Court’s review is warranted because the court of appeals has held an Act of Congress unconstitutional and its legal rationale would inflict immense practical harms."

The Challengers: A Closer Look

Representing the challengers is American First Legal, led by figures from the former Trump administration such as Stephen Miller, and Jonathan Mitchell, a former Texas solicitor general.

The group's involvement underscores the continued ideological battles over the scope and reach of the ACA.

The case, known as Braidwood Management v. Becerra, marks a significant chapter in the ongoing legal scrutiny of Obamacare provisions.

Supreme Court's Historical Stance on ACA

The Supreme Court has previously upheld the ACA in several landmark cases. Notably, in 2021, it rejected challenges to the entirety of the ACA brought forth during the Trump administration, supported by Republican-led states.

This history of decisions may influence the upcoming deliberations, given the Court's prior defense of the ACA’s fundamental components.

Prelogar further emphasized the broader implications of the appellate court's decision, stating it "threatens to disrupt a key part of the ACA that provides healthcare protections for millions of Americans."

Future of Healthcare Hangs in Balance

As the Supreme Court contemplates taking on this case, the upcoming election could be pivotal in determining the direction of healthcare policy in America.

With the ACA's fate once again in the judicial system, millions of Americans await a decision that could significantly affect their access to healthcare services.

The outcome of this case could also serve as a crucial point of debate in the election, highlighting the ongoing importance of the ACA in American politics.