Trump Administration No Longer Supports Pre-Existing Condition Coverage
The Department of Justice (DOJ) recently filed an amicus brief at the U.S. Supreme Court in the California v. Texas case, arguing that all of the Affordable Care Act (ACA) should be struck down because one of its core provisions, the individual mandate, is unconstitutional—rendering the rest of the law invalid as well. The Trump administration had previously supported retaining ACA’s pre-existing condition coverage requirement, but based on the brief, the administration has changed its position. The brief was filed in support of the State of Texas, who is the defendant in the case.
Following the Fifth Circuit’s remand of the Texas v. U.S. case to the district court, Texas and DOJ declined to appeal the decision to the Supreme Court. However, California, which was allowed to intervene in the Texas v. U.S. case, did appeal the Fifth Circuit’s decision. DOJ had previously decided not to defend the district court’s decision at the appellate level, which spurred California’s decision to intervene in the case at the appellate level.
In March 2020, the Supreme Court declined to hear the Texas v. U.S. case this term, but it did agree to hear the case next term. The Supreme Court also decided to wrap both the Texas v. U.S. and the California v. Texas cases into one case and call it “California v. Texas.” Thus, the Supreme Court will hear California v. Texas next term. The Supreme Court will rule on whether the ACA is invalid without the individual mandate.