Ultimate Fate of the ACA in Doubt as Court Remands to Lower Court to Decide
Charleston, WV – Last night, the United States Fifth Circuit Court of Appeals issued a ruling striking
down only the individual mandate provision of the Affordable Care Act (ACA). The Court ruled that the
individual mandate to buy health insurance cannot stand without the penalty attached to it. Congress
repealed the penalty in 2017. The Court did not strike down the rest of the Affordable Care Act. In
practical terms, the ACA stands today for consumers same as it did yesterday.
However, the Court did remand the case to the lower court to decide if the entire ACA could continue
without the individual mandate provision (that is, to determine if the provision was intended by Congress
to be “severable” from the rest of the ACA). In fact, Congress has already made their intent clear by
voting to eliminate the individual mandate penalty and leaving the rest of the ACA in place. The suit to
strike down the ACA was originally brought by attorneys general in 20 conservative states, including
West Virginia Attorney General Patrick Morrisey, and the Trump Administration has called for repeal of
the entire ACA.
With this decision to remand the case back to the lower court, the case may not go forward to the U.S.
Supreme Court in 2020 and before the election in November. Thus, the ultimate fate of the Affordable
Care Act may be decided at the ballot boxes.
“This ruling leaves the fate of pre-existing condition protections for millions of consumers in frightening
uncertainty. People who qualified for insurance through the ACA’s expansion of Medicaid are left to
worry about their future. In West Virginia, one-third of the population has a pre-existing condition that is
insurance discrimination by the ACA – that is, from high premiums, exclusions of coverage, and denials
of coverage. More than 150,000 people are currently enrolled in health insurance under the Medicaid
expansion. The ACA is critical to the financial survival of our rural hospitals and clinics. When will the
attacks on the ACA stop so that hard-working people do not live in fear of being thrown from the
insurance rolls, facing sky-high premiums for pre-existing conditions, and loss of jobs from rural hospital
closures,” West Virginians for Affordable Health Care Executive Director Jessica Ice stated.
“Despite continual legal, legislative, and partisan political attacks, for now the ACA remains the law of
the land – ensuring that West Virginians and all Americans can receive quality, affordable health
coverage. Medicaid is the cornerstone of health care delivery in West Virginia. With over 1/3 of the
state’s population receiving coverage through the program, its importance is vital to improving health
outcomes and saving lives. Today the Fifth Circuit Court of Appeals left West Virginia families holding
their breath to see if they will be caught in partisan political crossfire and lose their pre-existing condition
protections and Medicaid,” said Kat Stoll, Director of West Virginians Together for Medicaid.
Further updates will be forthcoming. The case is titled Texas vs. United States.