For many Americans right now, the scale of the coronavirus crisis calls to mind 9/11 or the 2008 financial crisis—events that reshaped society in lasting ways, from how we travel and buy homes, to the level of security and surveillance we’re accustomed to, and even to the language we use.

The COVID-19 pandemic has already disrupted public life in a number of ways — large events are canceled, restaurants are closed and many of us are stuck at home — but a fundamental aspect of our democratic society could also be under threat: voting.

The Patient Protection and Affordable Care Act, signed into law in 2010, represents the most sweeping federal health reform legislation since the creation of Medicare and Medicaid in 1965.