San Francisco Chronicle

Court says part of law invalid, review needed

- By Rebecca Santana, Mark Sherman and Ricardo AlonsoZald­ivar Rebecca Santana, Mark Sherman and Ricardo AlonsoZald­ivar are Associated Press writers.

NEW ORLEANS — A federal appeals court on Wednesday struck down “Obamacare’s” nowtoothle­ss requiremen­t that Americans carry health insurance but sidesteppe­d a ruling on the law’s overall constituti­onality. The decision means the law remains in effect.

The 21 ruling handed down by a panel of the 5th U.S. Circuit Court of Appeals in New Orleans means the ultimate fate of the rest of the Affordable Care Act including such popular provisions as protection­s for those with preexistin­g conditions, Medicaid expansion and the ability for children under the age of 26 to remain on their parents’ insurance remains unclear.

The panel agreed with Texasbased U.S. District Judge Reed O’Connor’s 2018 finding that the law’s insurance requiremen­t, the socalled “individual mandate,” was rendered unconstitu­tional when Congress, in 2017, reduced a tax on people without insurance to zero.

The court reached no decision on the big issue — how much of the Affordable Care Act must fall along with the insurance mandate.

“It may still be that none of the ACA is severable from the individual mandate, even after this inquiry is concluded. It may be that all of the ACA is severable from the individual mandate. It may also be that some of the ACA is severable from the individual mandate, and some is not,“Judge Jennifer Elrod wrote.

The decision sends the case back to a judge who already ruled once to throw out the entire ACA but with some guidance. O’Connor has to be more specific about which parts of the law can’t be separated from the mandate, and also must take into account Congress’ decision to leave the rest of the law essentiall­y unchanged when it reduced the penalty for not having insurance to zero, Elrod wrote.

In dissent, Judge Carolyn Dineen King said her colleagues were prolonging “uncertaint­y over the future of the healthcare sector.” King would have found the mandate constituti­onal, although unenforcea­ble, and would have left the rest of the law alone.

California Attorney General Xavier Becerra, who is leading state efforts to defend the law, promised a quick appeal to the Supreme Court.

“For now, the President got the gift he wanted — uncertaint­y in the health care system and a pathway to repeal — so that the health care that seniors, workers and families secured under the Affordable Care Act can be yanked from under them,“Becerra said in a statement.

President Trump applauded the decision, calling it a “win for all Americans.”

Congress had already failed to repeal the Affordable Care Act in its entirety, the law’s supporters noted.

What happened in 2017, they contended in written arguments, is that Congress “chose to make the minimum coverage provision unenforcea­ble — while leaving every other part of the ACA in place.”

 ?? Angel Valentin / New York Times ?? Sunshine Health and Life Advisers, a Miami insurance enrollment company, uses a window advertisem­ent to attract Spanishspe­aking customers for the Affordable Care Act.
Angel Valentin / New York Times Sunshine Health and Life Advisers, a Miami insurance enrollment company, uses a window advertisem­ent to attract Spanishspe­aking customers for the Affordable Care Act.

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