Jost Timothy Stoltzfus, Keith Katie
Timothy Stoltzfus Jost is an emeritus professor at the Washington and Lee University School of Law, in Lexington, Virginia, and a contributing editor at Health Affairs.
Katie Keith ( katie. keith@georgetown. edu ) is a principal at Keith Policy Solutions, LLC, an appointed consumer representative to the National Association of Insurance Commissioners, and an adjunct professor at the Georgetown University Law Center. She is also a Health Affairs contributing editor.
Health Aff (Millwood). 2020 Mar;39(3):479-486. doi: 10.1377/hlthaff.2019.01324.
The Affordable Care Act's legacy extends beyond its provision of health insurance to millions of previously uninsured people and its improved consumer protections. It has also had a significant impact on the US legal system. Litigation over the law began on the day of its enactment and has been a constant in the decade since. Although the law has survived these challenges, its effectiveness has been hobbled. Litigation is now being used as a check on the efforts to undermine the Affordable Care Act by the administration of President Donald Trump. This article reviews the history of litigation over the Affordable Care Act, how the law generally has been shaped by this litigation, and what this experience might mean for the future of health reform efforts.
《平价医疗法案》的影响不仅限于为数百万此前未参保的人提供医疗保险以及加强消费者保护。它还对美国法律体系产生了重大影响。该法案自颁布之日起就引发了诉讼,在随后的十年里诉讼不断。尽管该法案经受住了这些挑战,但其效力受到了阻碍。目前,诉讼正被用来制衡唐纳德·特朗普总统政府破坏《平价医疗法案》的种种努力。本文回顾了围绕《平价医疗法案》的诉讼历史、该诉讼如何总体上塑造了这项法律,以及这段经历对未来医疗改革努力可能意味着什么。