Congress Extends Enhanced ACA Subsidies.

Congress extended enhanced Marketplace subsidies through 2025 and adopted historic Medicare prescription drug reforms.

Supreme Court Ends Right To Abortion.

The Court overturned Roe v. Wade and issued other health-related decisions; the Biden administration finalized new rules.

Subsidy Cliff Looms; Fixing The Family Glitch.

Enrollment remains high as the Biden administration proposes to fix the "family glitch" and tracks No Surprises Act litigation.

Record ACA Enrollment; 2023 Payment Rule.

Marketplace enrollment rose significantly, and the Biden administration proposed sweeping new standards for 2023.

House Advances Build Back Better Act.

Congress considers building on the Affordable Care Act as Marketplace enrollment for the 2022 plan year begins robustly.

ACA Changes Considered; Coverage Held Steady.

The Affordable Care Act served as a pandemic safety net. Congress and the White House aim to further expand the law.

ACA Action Continues As Law Is Upheld.

The Affordable Care Act survives another legal challenge; the Biden administration is overseeing expansions of the law.

American Rescue Plan Increases ACA Enrollment.

Marketplace enrollment rises as the Biden administration swiftly implements the American Rescue Plan Act.

The American Rescue Plan Expands The ACA.

Congress temporarily enhanced the Affordable Care Act and newly incentivized the expansion of state Medicaid programs.

Biden And New Congress Tackle COVID-19, ACA.

President Joe Biden will try to navigate a Congress narrowly controlled by Democrats while acting administratively as well.

The Election; The ACA At The Supreme Court.

The new president will put his stamp on the Affordable Care Act as the Supreme Court seems unlikely to invalidate the entire law.

Health Policy by Litigation.

Since its enactment, the Affordable Care Act (ACA) has faced numerous legal challenges. Many of these lawsuits have focused on implementation of the law and the limits of executive power. Opponents challenged the ACA under the Obama Administration while supporters have turned to the courts to prevent the Trump Administration from undermining the law. In the meantime, Congress remains gridlocked over the ACA and many other critical health policy issues, leaving the executive branch to adopt its preferred policy approach and ultimately leading to lawsuits. This article briefly discusses the history of litigation over the ACA and some reasons why this litigation has been so enduring. The article then identifies other areas of health policy that are or could be future targets for litigation. Finally, the article comments on the potential impact of the courts on future health reform efforts.

A Hot Summer Brings More ACA Litigation.

The Supreme Court will hear California v. Texas after the election, and courts issued new Affordable Care Act decisions.

Contraceptive Mandate, ACA Final Rules, And COVID-19.

The Supreme Court upheld broad exemptions to the Affordable Care Act contraceptive mandate; new ACA rules were finalized.

Risk Corridors, COVID-19, And The ACA.

The Supreme Court holds that the government owes insurers the full risk corridors payments due under the Affordable Care Act.

The ACA And The Courts: Litigation's Effects On The Law's Implementation And Beyond.

The Affordable Care Act's legacy extends beyond its provision of health insurance to millions of previously uninsured people and its improved consumer protections. It has also had a significant impact on the US legal system. Litigation over the law began on the day of its enactment and has been a constant in the decade since. Although the law has survived these challenges, its effectiveness has been hobbled. Litigation is now being used as a check on the efforts to undermine the Affordable Care Act by the administration of President Donald Trump. This article reviews the history of litigation over the Affordable Care Act, how the law generally has been shaped by this litigation, and what this experience might mean for the future of health reform efforts.

ACA Litigation: Politics Pursued through Other Means.

Despite its passage a decade ago, the Affordable Care Act (ACA) remains a politically divisive law. These political divisions have long been on display in Congress, in the White House, and in states. A long-standing stalemate in Congress-where Republicans cannot repeal the law and Democrats cannot improve it-has emboldened efforts by the executive branch to act unilaterally to implement, or undermine, the ACA. In turn, the law's opponents and supporters have turned to the courts to promote their favored policy agendas through both broadside attacks on the law and targeted challenges to its implementation. Litigation has become politics pursued through other means. These challenges have often been brought, or opposed, by state attorneys general and governors, with red-state coalitions facing off against blue-state coalitions. ACA litigation has also been characterized by forum shopping, nationwide injunctions, and questions about the court as a truly adversarial forum. This article briefly reviews the history of ACA litigation, discusses these legal norms in the context of the historic health reform law, and considers the implications of this history and the changing judiciary for future health reform efforts.

The ACA At The Supreme Court And Beyond.

The Supreme Court considers new Affordable Care Act cases, other lawsuits continue, and the Trump administration issues new rules and guidance.

Texas Ruling Brings More ACA Uncertainty.

Texas ruling and other legal challenges raise questions about the ACA's future even as enrollment holds steady.

Health Reform On The Campaign Trail.

The health reform debate heats up in the Democratic primary while Republicans grapple with developing their own plan.