Daily Local News (West Chester, PA)

Supreme Court will decide the fate of Obama health care law

- By Mark Sherman

WASHINGTON » The Supreme Court agreed Monday to decide a lawsuit that threatens the Obama-era health care law, a case that will keep health care squarely in front of voters even though a decision won’t come until after the 2020 election.

The court said it would hear an appeal by 20 mainly Democratic states of a lowercourt ruling that declared part of the statute unconstitu­tional and cast a cloud over the rest.

For the more than 20 million people cov- ered under “Obamacare,” nothing changes while the Supreme Court deliberate­s. The law’s subsidized private insurance coverage and Medicaid expansion remain in place while the issues are litigated again.

Defenders of the Affordable Care Act argued that the questions raised by the case are too important to let it drag on for months or years in lower courts and that the 5th U.S. Circuit Court of Appeals in New Orleans erred when it struck down the health law’s now toothless requiremen­t that Americans have health insurance.

The case will be the third major Supreme Court battle over the law since President Barack Obama signed it nearly 10 years ago, on March 23, 2010. The court has twice upheld the heart of the law, with Chief Justice John Roberts memorably siding with the court’s liberals in 2012, amid Obama’s reelection campaign. The majority that upheld the law twice remains on the court, Roberts and the four liberal justices.

The Trump administra­tion’s views on the law have shifted over time, but it has always supported getting rid of provisions that prohibit insurance companies from discrimina­ting against people with existing health ailments. Even as the administra­tion seeks to overturn “Obamacare” in court, President Donald Trump has claimed people with preexistin­g conditions would still be protected. Neither the White House nor congressio­nal Republican­s have specified how.

Congressio­nal repeal narrowly failed in 2017, when the Republican­s controlled the House and the Senate. Any repeal effort now would be blocked by the Democratic­led House under Speaker Nancy Pelosi.

The Supreme Court’s review of the case guarantees that the fate of the health care law will be in the public’s eye as the election approaches, even if the decision doesn’t come until 2021.

The timing means written briefs from both sides will likely be due in the summer, and arguments could take place in early fall before the election, if the court follows its usual practice of scheduling cases. If that happens, audio snippets from the oral arguments would be available for campaign commercial­s, said Timothy Jost, a retired law professor for Washington and Lee University in Virginia and a supporter of the ACA.

“I think the Democrats will hammer away at the fact that the Trump administra­tion is not defending the law, and basically arguing the whole thing should be invalidate­d,” said Jost. “They’ll focus on issues like pre-existing conditions and 20 million people losing health insurance.”

Democratic presidenti­al candidates agree on expanding coverage to the 28 million people who remain uninsured, even as they sharply debate how to do that. Former Vice President Joe Biden and other moderates would build on the ACA, while Vermont Sen. Bernie Sanders wants to institute a new government health plan to cover all U.S. residents, including those who now have private insurance.

“This case is a stark, life-and-death reminder how much is at stake this fall,” Biden said in a statement.

The Democratic states had asked for a fast-track review with a decision by late June, before the 2020 elections in November. Instead, the justices probably will hear arguments in the fall, with a decision likely in the spring of 2021.

Still, California Attorney General Xavier Becerra welcomed the court’s decision to take up the appeal.

“As Texas and the Trump Administra­tion fight to disrupt our healthcare system and the coverage that millions rely upon, we look forward to making our case in defense of the ACA. American lives depend upon it,” Becerra said in a statement.

 ?? MARK TENALLY — THE ASSOCIATED PRESS ?? In this Jan. 27, 2020 photo, the Supreme Court is seen in Washington, DC.
MARK TENALLY — THE ASSOCIATED PRESS In this Jan. 27, 2020 photo, the Supreme Court is seen in Washington, DC.

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