Democrats say Supreme Court nominee is a threat to the ACA

July 12, 2018

Senate Democrats are instead turning to healthcare as a rallying cry for opposition to Brett Kavanaugh, President Trump’s Supreme Court nominee.

Specifically, they are sounding the alarm that confirming the conservative District Court judge could jeopardize one of the Affordable Care Act’s most popular provisions—its protections for people with pre-existing health conditions.

Democratic senators spent July 10 trying to connect the dots between potential threats to healthcare and Trump’s high court pick.

“President Trump as a candidate made it very clear that his priority was to put justices on the court who would correct for the fatal flaw of John Roberts,” said Sen. Chris Murphy, D-CT, on the Senate floor July 10. Chief Justice Roberts was the decisive fifth vote to uphold the ACA in a key case in 2012. “[Republicans’] new strategy is to use the court system to invalidate the protections in the law for people with pre-existing conditions,” Murphy said.

Murphy—and many of his Democratic colleagues—are referring to a case filed in Texas in February by 20 Republican state attorneys general. The AGs from these states charge that because the tax bill passed by Congress last year eliminated the tax penalty for not having health insurance, it rendered the entire federal health law void.

Their reasoning was that Roberts based his opinion upholding the ACA on Congress’ taxing power. Without the tax, the AGs argue, the law should be held unconstitutional.

The Trump administration, which might have been expected to defend the ACA because defending federal law is part of what the Justice Department is tasked to do, opted instead, in this case, to follow a different course of action.

In a response filed in June, political appointees in the department said eliminating the penalty should not invalidate the entire ACA. But, they argued, it should nullify provisions that prevent insurers from refusing to sell insurance to people with pre-existing conditions or charging them higher premiums.

If this argument were to be upheld by a newly reconstituted Supreme Court, the health law would be dealt a serious blow.

The lawsuit, however, is only in its earliest stages. And many legal scholars on both sides doubt it will get very far.

In an amicus brief filed with the court in June, five liberal and conservative legal experts (who disagreed on previous ACA cases) this time argued that both the Republican attorneys general and the Justice Department are wrong—that eliminating the mandate penalty should have no impact on the rest of the law.

Their position is rooted in something called “congressional intent.” When a court wants to invalidate a portion of a law, it usually also has to determine whether Congress would have considered other aspects of the law unworkable without it.

But that is not a problem in this case, the legal experts argued in their brief.

The merits of the lawsuit notwithstanding, the issue works well for Democrats.

NPR has the full story

Sponsored Recommendations

Enhancing Remote Radiology: How Zero Trust Access Revolutionizes Healthcare Connectivity

This content details how a cloud-enabled zero trust architecture ensures high performance, compliance, and scalability, overcoming the limitations of traditional VPN solutions...

Spotlight on Artificial Intelligence

Unlock the potential of AI in our latest series. Discover how AI is revolutionizing clinical decision support, improving workflow efficiency, and transforming medical documentation...

Beyond the VPN: Zero Trust Access for a Healthcare Hybrid Work Environment

This whitepaper explores how a cloud-enabled zero trust architecture ensures secure, least privileged access to applications, meeting regulatory requirements and enhancing user...

Enhancing Remote Radiology: How Zero Trust Access Revolutionizes Healthcare Connectivity

This content details how a cloud-enabled zero trust architecture ensures high performance, compliance, and scalability, overcoming the limitations of traditional VPN solutions...