The Affordable Care Act (ACA) has provided health insurance to millions of Americans and reduced the cost of healthcare for millions more. The Affordable Care Act became law in 2010, protecting millions from losing their care coverage because of pre-existing conditions. The ACA is a federal program, with health insurance exchanges and expanded Medicaid programs administered by the states.

Attorneys general have been leaders in defending the ACA, enforcing the provisions of the ACA, protecting healthcare coverage for vulnerable populations, and fighting for reproductive healthcare coverage.

Below are examples of attorney general actions taken to protect the ACA and expand access to healthcare:

  • A coalition of 21 AGs filed a brief in the U.S. Supreme Court defending the ACA against efforts by the Trump Administration and the state of Texas to repeal the entire ACA, putting the healthcare of tens of millions of Americans at risk.
  • A coalition of 14 AGs challenged the Trump Administration’s refusal to open a special enrollment period on HealthCare.Gov in response to COVID-19 to help people access healthcare during the pandemic.
  • A coalition of 47 states called upon Congress to authorize the Autism Collaboration, Accountability, Research, Education, and Support Act of 2019 to provide ongoing federal support for research into autism spectrum disorders and services to those affected by these conditions.
  • A coalition of 24 AGs sent a letter to the U.S. Department of Health and Human Services opposing its proposed amendments to Section 1557 of the ACA, an anti-discrimination provision that prohibits discrimination in healthcare based on gender, race, ethnicity, sex, age or disability. The proposed changes to this provision would seriously undermine the ACA’s critical anti-discrimination protections.
  • A coalition of 21 AGs filed an amicus brief in the United States Supreme Court supporting Pennsylvania in its case defending contraceptive coverage and counseling mandated under the ACA.
  • A coalition of eight AGs sued the U.S. Department of Health and Human Services for its unlawful reinterpretation of Section 1303 of the ACA, which limited healthcare coverage including reproductive care. A billing scheme that forced health insurance providers to collect separate bills for reproductive care and all other healthcare created an onerous and confusing requirement that threatened women’s access to abortion and put millions at risk of accidentally losing their health insurance coverage.
  • A coalition of 51 AGs filed a lawsuit stemming from the ongoing antitrust investigation into a widespread conspiracy by generic drug manufacturers to artificially inflate and manipulate prices, reduce competition, and unreasonably restrain trade for generic drugs sold across the United States.
  • A coalition of 23 AGs filed a comment letter in opposition to a federal proposal that would roll back critical anti-discrimination protections for patients. In the proposal, the U.S. Department of Health and Human Services would eliminate transparency requirements for faith-based providers that help patients to understand their rights and access referrals to care from alternative providers.