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That Texas judge ruled the law unconstitutional after republicans in congress eliminated the individual mandate requiring everyone to buy insurance previous year.

The Supreme Court in 2012 ruled that the individual mandate was a valid exercise of Congress' taxation powers, with the law imposing a monetary penalty on people who did not obtain insurance.

"We know what Congress' intent was in 2017 - that was to pull the individual mandate while keeping the rest of ACA intact", University of MI law professor Nicholas Bagley said. O'Connor said this meant "Obamacare" could no longer be constitutional.

Phil Bryant backs a lawsuit that Republicans created to kill the Affordable Care Act and its pre-existing conditions protections. The companies are among the health insurers with exposure to ACA.

"We've increased choice, we've increased competition, and for the first time in a long time, premiums on the exchanges are going down".

Where Roberts might fall this time is anybody's guess - as the case before the lower courts strikes at the heart of his rationale for upholding the law's individual mandate.

Collins said while the rule requiring Americans to purchase health insurance or face monetary penalties, was deeply "unpopular" it makes no sense, she said, not to retain the aspects of the Obama-era health legislation that provide for necessary care.

"(Friday's) decision is an unfortunate step backward for our health system that is contrary to overwhelming public sentiment to preserve pre-existing condition protections and other policies that have extended health insurance coverage to millions of Americans.

President Donald Trump praised the decision the day after its passing, telling reporters Saturday that if the decision is upheld, the administration would be working with Democratic lawmakers to secure "great, great health care for our people". "Pending the appeal process, the law remains in place". The Texas Attorney General, joined by a consortium of 18 other state attorneys general and a governor, initiated a lawsuit attacking the ACA soon thereafter, arguing that the elimination of the linchpin penalty provision rendered the entire law unconstitutional. House Democrats are expected to introduce a resolution defending the law immediately after the 116th Congress is sworn in on January 3.

Stacy Pogue, a health care policy analyst with the left-leaning Center for Public Policy Priorities, anxious that Henneke was advocating a return to high-risk pools that offered separate coverage to the sickest patients who weren't covered by their employers. But this won't be a straightforward win for anybody: Democrats and Republicans are divided within their own parties over the best way forward, be that single-payer health care, Obamacare, a repeal or something else.

White House spokeswoman Sarah Huckabee Sanders said the judge's decision "vindicates President Trump's position that Obamacare is unconstitutional".

"They have no plan for insuring the uninsured".

In the ruling, Judge O'Connor begins by stating that courts are not "tasked with, nor are they suited to, policymaking".

Luckily, the ruling doesn't go into effect immediately and it should be overturned before anyone loses their coverage.

Collins, who last summer voted against a Republican-led effort to repeal the Affordable Care Act, defended her vote to repeal the individual mandate under the tax bill, calling the provision deeply "unpopular".

Though the federal government would have paid for Medicaid expansion for the first few years, MS would have had to pay 10 percent of the cost of expansion in later years. "Regardless, the ACA will remain in effect for 2019, and we are optimistic that it will remain in effect thereafter". If he refuses, they can then ask the U.S. Court of Appeals for the Fifth Circuit. "If they can't get it done in Congress, they'll keep trying in the courts, even when it puts people's pre-existing conditions coverage at risk".