Since its passage a decade ago, the Affordable Care Act (ACA)1 has been the subject of 5 challenges in the US Supreme Court, making it one of the most highly litigated health care statutes ever before the high court. On April 27, 2020, the Court issued its decision in Maine Community Health Options v United States, consolidating cases from 4 health insurance companies that offered new insurance plans on the insurance benefit exchanges in the early days of the ACA.2 Holding that the federal government must make good on an ACA provision to reimburse insurance companies for billions of dollars of ACA losses—funds impliedly promised but never thereafter actually appropriated by Congress—the Court’s decision may have significant impact on the government’s obligation to stand by time-sensitive legislation that commits government funding.
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Boumil MM, Curfman G. The Affordable Care Act Returns to the Supreme Court: Maine Community Health Options v United States. JAMA Intern Med. Published online September 14, 2020. doi:10.1001/jamainternmed.2020.3549
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