More than a decade after its enactment, the future of the Affordable Care Act (ACA) remains uncertain as the U.S. Supreme Court takes up another challenge to the law’s constitutionality in California v. Texas (known as Texas v. U.S. in the lower courts). Oral argument is scheduled for Tuesday, November 10, 2020.

The ACA remains in effect while the litigation is pending. However, if all or most of the law ultimately is struck down, it will have complex and far-reaching consequences for the nation’s health care system, affecting nearly everyone in some way.

For information about ACA Marketplace Open Enrollment, including fact sheets and 300+ FAQs, visit our collection of resources on Understanding Health Insurance.

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State Flexibility to Address Health Insurance Challenges under the American Health Care Act, H.R. 1628

The American Health Care Act (AHCA), a bill passed by the House in May 2017 to repeal and replace the Affordable Care Act (ACA), would present states with new authority in individual insurance markets, along with a number of difficult problems and choices and limited resources with which to address them. States would be able to obtain waivers and would be eligible for $123 billion in grant funds, including money from a new Patient and State Stability fund, to help offset these impacts, but would face difficult tradeoffs.

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How ACA Repeal and Replace Proposals Could Affect Coverage and Premiums for Older Adults and Have Spillover Effects for Medicare

This brief explains the key AHCA provisions that would reshape the private market to more closely resemble the pre-Affordable Care Act period, and the effects of these changes on adults ages 50-64. The brief also discusses how changes to Medicaid could affect older, low-income adults, and how an increase in the number of uninsured older adults could have implications for the Medicare program in the future.

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What Challenges Could State Insurance Markets Face Under the House’s American Health Care Act?

A new brief from the Kaiser Family Foundation outlines options for state insurance markets and challenges that states could face under the House’s replacement for the Affordable Care Act (ACA). Passed by the House on May 4 and now under consideration by the Senate, the American Health Care Act (AHCA)…

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Kaiser Family Foundation/Washington Post Partnership Survey Probes Experiences and Views of Rural Americans

Jobs Are Major Concern for Rural Residents: Two Thirds Rate Local Job Market as Fair or Poor, and Most Would Encourage Young People to Leave for Opportunities Elsewhere A new partnership survey of rural and small town America conducted by the Kaiser Family Foundation and The Washington Post gauges the…

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New County-Level Map Compares Premiums and Tax Credits Under Senate Health Bill and ACA

A new interactive map from the Kaiser Family Foundation compares county-level estimates of premiums that consumers would pay under the Affordable Care Act (ACA) in 2020 with what they’d pay under the Senate’s discussion draft, Better Care Reconciliation Act (BCRA), a replacement plan unveiled last Thursday. The maps include premium…

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Why the Senate’s Health-Care Plan Wouldn’t work in the Real World

In a Washington Post op-ed, Drew Altman dissects the difference between the talking points and the reality of the Senate health bill to replace the Affordable Care Act and change Medicaid.

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Kaiser Health Tracking Poll – June 2017: Women’s Health

The Affordable Care Act (ACA) requires employers to cover the full cost of prescription birth control as part of their health insurance plans. The June Kaiser Health Tracking Poll finds that a majority of the public support the requirement for private health insurance plans to cover the full cost of birth control. This includes a majority of Democrats, independents, and Republicans.

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Medicaid’s Role in West Virginia

This fact sheet provides data on Medicaid’s role in West Virginia. It describes how ending the enhanced match for Medicaid expansion and implementing a per capita cap or block grant would affect West Virginia.

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Medicaid’s Role in Colorado

This fact sheet provides data on Medicaid’s role in Colorado. It describes how ending the enhanced match for Medicaid expansion and implementing a per capita cap or block grant would affect Colorado.

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Medicaid’s Role in Nevada

This fact sheet provides data on Medicaid’s role in Nevada. It describes how ending the enhanced match for Medicaid expansion and implementing a per capita cap or block grant would affect Nevada.

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Filling the need for trusted information on national health issues, the Kaiser Family Foundation is a nonprofit organization based in San Francisco, California.