Issue / Topic: Private Health Insurance

Affordable Care Act

Enacted in 2010, the landmark Affordable Care Act (ACA) made significant reforms in ensuring health care access and delivery. It is also one of the most litigated pieces of legislation in recent history, giving the courts an unprecedented role in shaping health care in the U.S. The ACA expanded access to Medicaid and subsidized private insurance through new Health Insurance Marketplaces for tens of millions of lower- and middle-income Americans. For those with private insurance, including employer-sponsored coverage, the ACA advanced new insurance protections and market reforms, such as a ban on charging more or denying coverage for pre-existing conditions and guaranteed evidence-based preventive services with no cost-sharing. The ACA also advanced sweeping nondiscrimination protections across the health care industry.

Tracker Trends
45 tracked cases

New cases tracked in the last 12 months

Spotlight

Key quotes shaping this topic

“There is a strong public interest in Americans maintaining affordable healthcare coverage. Indeed, that was the primary purpose of enacting the ACA.”

“The Court reiterates that agencies generally have much discretion in assembling advisory committees. But the constellation of evidence before the Court strongly suggests that little, if any, attention was paid by Secretary Kennedy to the requirements of FACA when appointing the new ACIP members.”

“HHS did not have authority to add any certification program to be administered by the IRS because ACA § 1411 does not allow HHS to delegate to the IRS.”

“[T]he Court will set aside the 2021 [regulation] based on both its contradictory reading of the same statutory and regulatory language and the fact that the agencies have yet to offer a definitive interpretation of this language that would support their authorization of copay accumulators.”

“The key factors the Department ignored were its prior advisory opinions discussing the term 'working owner' and its regulation adopting a definition of the term in a related context. These omissions doom the Department’s action.”

Who's Suing

Plaintiff by Type

Key Dates

Important dates in Affordable Care Act cases

American Academy of Pediatrics et al. v. Kennedy et al.

Oral Argument

Data Marketing Partnership LP v. Department of Labor et al.

Joint Status Report Due

Sonderling v. Suffolk Administrative Services LLC. et al.

Joint Status Report Due

City of Columbus et al. v. Kennedy et al. (Columbus I)

Oral Argument

Geographic Trends

14 active district courts

Court Level

Appellate District
16 (36%) 29 (64%)

Status

Who's Presiding

District Court Cases by Appointing President

Reflects district court judges only.

Dive Deeper

All trend data is based solely on the cases on this website; if you want to recommend a new case to include, please let us know at hpli@georgetown.edu.

Affordable Care Act Cases We're Tracking