Tagged Courts

Obamacare’s History Littered With Near-Death Experiences

Few laws have defied as many existential threats as the Affordable Care Act. In seven years, it has been to the brink of elimination nearly a dozen times, only to rally back from seemingly impossible odds. Efforts to kill it have come from Congress (including one in 2015 that made it all the way to President Barack Obama’s desk before being vetoed), the White House and the courts. So far, the law continues.

As the Senate continues its latest effort to remake the law, here is a timeline of the ACA’s “near-death” experiences, which occurred before the bill passed, during its implementation and after benefits began to flow.

Categories: Courts, Multimedia, Repeal And Replace Watch, The Health Law

Tags: ,

Obamacare’s History Littered With Near-Death Experiences

Few laws have defied as many existential threats as the Affordable Care Act. In seven years, it has been to the brink of elimination nearly a dozen times, only to rally back from seemingly impossible odds. Efforts to kill it have come from Congress (including one in 2015 that made it all the way to President Barack Obama’s desk before being vetoed), the White House and the courts. So far, the law continues.

As the Senate continues its latest effort to remake the law, here is a timeline of the ACA’s “near-death” experiences, which occurred before the bill passed, during its implementation and after benefits began to flow.


November 2009 — Abortion Nearly Stalls House Bill

In order to get the Affordable Care Act passed by the House, then-Speaker Nancy Pelosi (D-Calif.), an abortion-rights backer, had to give in to anti-abortion Democrats and include language expanding federal limits on the procedure, over the opposition of a majority of her colleagues.


Use Our Content

December 2009 — Democrats Forced To Drop ‘Public Option’

Independent Sen. Joe Lieberman of Connecticut refused to become the 60th vote needed to break a GOP filibuster unless Democratic leaders eliminated a provision to allow some people younger than 65 to opt in to Medicare rather than buy private health coverage.


January 2010 — Scott Brown Upsets Democrats’ Strategy

Brown, a Republican, unexpectedly won the seat left empty by the 2009 death of Sen. Edward Kennedy, depriving Senate Democrats of 60 votes, the number needed to force a vote on the bill. Backers of the bill moved to a complicated Plan B. That involved requiring the House to pass the Senate bill without any changes. Compromises were worked out through the budget reconciliation process that enabled Senate passage with only 51 votes.


March 2010 — Abortion Again Threatens Passage

House leaders still did not have the numbers needed for passage and had to negotiate with anti-abortion Democrats to gain enough votes. Those members forced more changes to the bill to get it across the finish line.


March 23, 2010 — Milestone: Bill Signed Into Law


June 2012 — High Court Upholds Health Law Mandate

Supreme Court Chief Justice John Roberts wrote in a 5-4 ruling that the requirement for most Americans to either have insurance or pay a fine constitutes a tax — and therefore is constitutional. In a separate decision, however, the justices in a 7-2 ruling said that the expansion of Medicaid had to be voluntary for the states.


November 2012 — Barack Obama Re-Elected President

Obama’s opponent, Republican Mitt Romney, had promised to undo the health law.


October 2013 — Healthcare.gov Fails To Launch

The health insurance enrollment website failed repeatedly in its debut. The technical difficulties made the law’s rollout a laughingstock. Only six people were able to sign up the first day. It took several weeks to make the site useable for large numbers of customers.


Jan. 1, 2014 — Milestone: Most Of Law’s Benefits Take Effect


June 2014 — Supreme Court Saves Health Law Again

The high court ruled that subsidies to help people afford coverage should be available in states that ran their own insurance exchanges and those that had defaulted to using the federal government’s website. The case centered on imprecise language in the law.


December 2015 — Repeal Passes Both Houses Of Congress

The House and Senate pass a bill that would have repealed major parts (although far from all) of the ACA, delaying most of the changes for two years to give themselves time to come up with a replacement plan. This was not really an existential threat to the bill, however, because lawmakers knew President Obama would veto the measure, which he did in January 2016.


March 2017 — House Stumbles In First Repeal Effort

With a president ready to make repeal a reality, the GOP-led House’s first try at an ACA overhaul ends in humiliating defeat when the measure cannot muster support from both conservatives and moderates. A subsequent version, however, designed to bring down premiums by loosening some consumer protections, passed the House in May.


June 2017 — Senate Stumbles In Effort To Pass Repeal

After Senate leaders had met behind closed doors for weeks to draft a bill, Majority Leader Mitch McConnell (R-Ky.) postpones the vote when it becomes clear he doesn’t have enough support. He had hoped to have it pass before Congress’ July Fourth recess.

Categories: Courts, Repeal And Replace Watch, The Health Law

Tags: ,

Texas Sued Again Over Anti-Abortion Laws

Planned Parenthood and other groups are suing the state over its ban on a second-trimester procedure. Also in Texas, state lawmakers consider further abortion regulations. Elsewhere, women’s reproductive health issues draw headlines in Ohio and Washington state.

Texas Tribune: Abortion Rights Groups Sue Texas Over Procedure Ban
The Center for Reproductive Rights and Planned Parenthood announced on Thursday they’re suing over a provision in Texas’ Senate Bill 8 bill that outlaws dilation and evacuation abortions. In that procedure, a doctor uses surgical instruments to grasp and remove pieces of fetal tissue. (Evans, 7/20)

Austin American-Statesman: Senate Panel To Mull Abortion, Resuscitation Order Bills Friday
The Senate Health and Human Services Committee on Friday is slated to hear a suite of bills to regulate abortions as well as to improve patient protections when it comes to do-not-resuscitate orders. The 8 a.m. hearing will kick off a busy day for lawmakers who will hear some of the most controversial issues for the 30-day special legislative session, including a bill to ban transgender-friendly bathroom bills and diverting public school money to help students pay for private school tuition. (Chang and Silver, 7/20)

Columbus Dispatch: Ohio Right To Life Takes Stricter Stance On Abortions
Republicans in Ohio will have to get a little more conservative to land a coveted Ohio Right to Life endorsement in 2018. The organization drew a hard line Thursday by announcing that candidates must hold a “pro-life” position containing no exceptions to abortion stemming from rape or incest to receive their political backing. (Keiper, 7/20)

Seattle Times: Crisis Pregnancy Centers Must Post Disclaimers Stating ‘Not A Health Care Facility’ Under King County Rule 
Facilities commonly referred to as “crisis pregnancy centers,” many of which are faith-based, will be required to post a sign telling patients they are not health-care facilities, under a new rule approved Thursday by the King County Board of Health. After emotional public testimony, mostly against the signs, nine of 10 board members voted for the rule saying their action was meant to bring transparency and accurate information to pregnant women. (Young, 7/20)

This is part of the KHN Morning Briefing, a summary of health policy coverage from major news organizations. Sign up for an email subscription.