Affordable Care Act

Jan Lance and Rene Lara walk down a street in Southeast Austin
Julia Reihs / KUT

A group of about 20 people gathered in Southeast Austin on a chilly Saturday morning to knock on doors in nearby neighborhoods. The #SickOfItTX event was one of seven across the state aimed at organizing Texans around the state's uninsured rate, which is the highest in the country.  

Jorge Sanhueza-Lyon / KUT

A ruling on a Texas-led lawsuit challenging the Affordable Care Act is imminent. The suit is a Republican-backed effort to eliminate the entire law after Congress failed to do so in 2017.

Martin do Nascimento for KUT

Texans can start buying health insurance through the marketplace created by the Affordable Care Act later this week. Open enrollment for the online marketplace, healthcare.gov, starts Friday Nov. 1 and ends Dec. 15 this year.

A decision in the latest court case to threaten the future of the Affordable Care Act could come as soon as this month. The ruling will come from the panel of judges in the 5th Circuit Court of Appeals, which heard oral arguments in the Texas v. Azar lawsuit.

An estimated 24 million people get their health coverage through programs created under the law, which has faced countless court challenges since it passed.

Gabriel C. Pérez / KUT

More than 5 million Texans didn’t have health insurance in 2018, according to figures released today from the U.S. Census Bureau. The year before, about 4.8 million Texans lacked coverage.

The John Minor Wisdom U.S. Court of Appeals building
Jolie McCullough / The Texas Tribune

NEW ORLEANS — On the left was Judge Carolyn Dineen King, an appointee of Jimmy Carter; on the right sat Judge Kurt Engelhardt, a nominee of Donald Trump, and in the center sat Judge Jennifer Walker Elrod, the George W. Bush appointee expected to represent the critical swing vote on a three-judge panel now charged with deciding the constitutionality of the Affordable Care Act.

The fate of the Affordable Care Act is again on the line Tuesday, as a federal appeals court in New Orleans takes up a case in which a lower court judge has already ruled the massive health law unconstitutional.

Sign for Obamacare at Foundation Communities
Martin do Nascimento / KUT

Texas must turn in legal briefs to a federal appeals court today ahead of a hearing next week on the state’s effort to overturn the Affordable Care Act, also known as Obamacare. 

Gauze and other medical supplies on a tray in a hospital room.
Gabriel C. Pérez / KUT

Texas Attorney General Ken Paxton announced Wednesday that his office filed a brief with the Fifth Circuit Court of Appeals, arguing the Affordable Care Act is unconstitutional.

Updated at 1:30 p.m. ET

In a significant shift, the Trump administration says the entirety of the Affordable Care Act should be struck down in the courts. Previously, the administration had pushed to remove the law's protections for people with pre-existing conditions but had not argued in court that the whole law should be struck down.

Shelby Knowles / The Texas Tribune

The Democratic coalition of states battling Texas over the fate of the Affordable Care Act has formally begun the process of challenging a Dec. 14 decision ruling the law unconstitutional in its entirety.

The federal judge in Texas who ruled the Affordable Care Act unconstitutional earlier this month said that the law can remain in effect while under appeal.

U.S. District Court Judge Reed O'Connor wrote in his ruling filed on Sunday that "many everyday Americans would otherwise face great uncertainty during the pendency of appeal."

Gabriel C. Pérez / KUT

Soon after a federal judge ruled Friday that the Affordable Care Act was invalid, Gov. Greg Abbott told The Dallas Morning News that Texas would create its own health care system if the decision is upheld.

It won't be that simple. Here are some things you should know about Abbott’s plan:

U.S. District Judge Reed O'Connor has a history of siding with Republicans on ideologically motivated lawsuits. His ruling last week, in which he sided with the GOP on a challenge to the Affordable Care Act, was not a one-off.

In fact, critics say, his history is ultimately why that case was before him in the first place.

Gabriel C. Pérez / KUT

More than 1 million Texans signed up for health insurance plans through the Affordable Care Act during the enrollment period that ended the day after a federal judge ruled the law is invalid. That's almost 40,000 fewer sign-ups than during the last enrollment period.

Rick Bowmer / AP

The Affordable Care Act faces a new legal challenge after a federal judge in Texas ruled the law unconstitutional on Friday. The decision risks throwing the nation's health care system into turmoil should it be upheld on appeal. But little will be different in the meantime.

President Trump called a Friday ruling striking down the Affordable Care Act "Great news for America!" Democratic lawmakers rushed to decry the decision, calling it "monstrous" and "harmful." And Republican lawmakers remained mostly quiet Saturday.

Gabriel C. Pérez / KUT

A federal judge in Fort Worth has ruled the Affordable Care Act is unconstitutional, in a lawsuit filed by 18 Republican state attorneys general and two Republican governors. 

Gabriel C. Pérez / KUT

An estimated 17 percent of Travis County residents under the age of 65 were uninsured in 2018, a new report finds. That's up from 15 percent last year. Seventy-one percent of those uninsured were from working families.

Charlotte Carpenter for KUT News

With less than two weeks of open enrollment left, Austin nonprofit Foundation Communities says it's reporting a noticeable decline in the number of Latinos signing up for health insurance through healthcare.gov, the federal insurance marketplace created by the Affordable Care Act.

Gabriel C. Pérez / KUT

After a decade of decline in the rate of uninsured children in Texas, a new study shows that rate is increasing again.

Martin do Nascimento / KUT

More people in Central Texas sought help getting health insurance through the Affordable Care Act during the first week of open enrollment this year than during the same period last year, according to a group that helps people get plans.

Gabriel C. Pérez / KUT

Texans who want to buy health insurance plans on the individual marketplace created by the Affordable Care Act, also known as Obamacare, can start enrolling today through Dec. 15 on healthcare.gov.

Julia Reihs / KUT

Editor's note: Shortly after this story aired, Rodriguez said St. David's reached out to him to discuss possible financial assistance. According to Rodriguez, the matter has been settled and he now owes only $1,600 as of Nov. 14.

There’s an uptick in health insurance companies not covering emergency room care, according to a consumer advocacy group.

Washington, D.C.-based Consumers for Quality Care said the increase is the result of the Trump administration pushing less regulated health care plans in its effort to undo protections created by the Affordable Care Act, also known as Obamacare.

In a span of less than 24 hours this past week, the Trump administration took two seemingly contradictory actions that could have profound effects on the insurance marketplaces set up by the Affordable Care Act.

Health analysts say that at least one of the efforts, coupled with previous changes initiated by the administration, could help transform the insurance market to be much more like it was before the 2010 federal health law took effect — when regulation, coverage and consumer protections varied widely across the United States.

Gabriel C. Pérez / KUT

For the first time in years, the uninsured rate in Texas is starting to climb again. After the Affordable Care Act went into effect in 2014, the state’s uninsured rate dropped from 22 percent to about 16 percent in 2016. However, that trend has started to move in another direction.

Julia Reihs / KUT

Texas Attorney General Ken Paxton is challenging the Affordable Care Act at a hearing in federal court in Fort Worth today.

Consumers who buy insurance through the Affordable Care Act markets may be pleasantly surprised this fall as average premiums are forecast to rise much less than in recent years.

The price of a 2019 policy sold on the ACA exchanges will increase less than 4 percent, according to an analysis of preliminary filings from insurers in all 50 states by ACASignups.net, a website and blog run by analyst Charles Gaba that tracks ACA enrollment and insurer participation.

And those insurers are expanding their offerings.

Julia Reihs / KUT

In a little-noticed court filing last month, Texas Attorney General Ken Paxton asked a federal judge to get rid of a popular part of the Affordable Care Act in Texas. In particular, his request could affect a part of the law that protects people with pre-existing conditions from being denied health insurance or being priced out of a health plan.

Gabriel C. Pérez / KUT

The Trump administration recently announced big cuts to a program that helps people sign up for health insurance through the Affordable Care Act, also known as Obamacare.

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