CHICAGO — In defense of significant coverage gains and key patient protection provisions of the Affordable Care Act (ACA), the American Medical Association (AMA) and other leading physician organizations today filed an amicus brief in the case of Texas v. United States. Additional organizations joining the AMA include the American College of Physicians (ACP), American Academy of Family Physicians (AAFP), American Academy of Pediatrics (AAP), and the American Psychiatric Association (APA). Download or view the amicus brief.

 “The district court ruling that the individual mandate is unconstitutional and inseverable from the remainder of the ACA would wreak havoc on the entire health care system, destabilize health insurance coverage, and roll back federal health policy to 2009,” said AMA President Barbara L. McAneny, M.D. “The ACA has dramatically boosted insurance coverage, and key provisions of the law enjoy widespread public support. The district court’s decision to invalidate the entire ACA should be reversed.”

If the district court ruling is upheld, it would adversely impact every single American, rendering the following ACA provisions null and void:

  • Patients would no longer have protections for pre-existing conditions
  • Children would no longer have coverage under their parents’ health insurance plan until age 26 
  • Insurers would no longer be held to the 85% medical loss ratio, meaning they could generate higher profits at the expense of coverage and payments for services
  • 100 percent coverage for certain preventive services would cease
  • Individual marketplace and subsidies based on income would be eliminated
  • Federal funding for Medicaid expansion would end, as would Medicaid eligibility expansion
  • Annual and life-time dollar limits could be reinstated, leading to more bankruptcies due to health care costs

For more than a decade, the AMA has advocated for expanded coverage and key health insurance reforms that help patients. At the time of the ACA’s passage and ever since, the AMA has acknowledged that the law has flaws and policymakers need to fix problems, gaps, and unintended consequences. The AMA’s highest priority is to ensure that the millions of Americans who have gained health care coverage because of the law maintain their coverage, in addition to their patient protections.

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Jack Deutsch

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About the American Medical Association

The American Medical Association is the physicians’ powerful ally in patient care. As the only medical association that convenes 190+ state and specialty medical societies and other critical stakeholders, the AMA represents physicians with a unified voice to all key players in health care.  The AMA leverages its strength by removing the obstacles that interfere with patient care, leading the charge to prevent chronic disease and confront public health crises and, driving the future of medicine to tackle the biggest challenges in health care.