The Supreme Court on Thursday rejected a challenge to the law from Texas and GOP-led states, which had argued that a decision by Congress to reduce to $0 the penalty for not having insurance meant the law was invalid. The justices found that the plaintiffs lacked standing to bring the case because they experienced no injury from the $0 penalty.
Another case in Texas, filed by conservative groups, seeks to weaken ACA requirements mandating that insurance cover certain preventive health services. The judge in the case had also ruled earlier on the penalty lawsuit and sided with the plaintiffs.
A decision favoring the plaintiffs could end free Covid-19 vaccines, rentals of breast-feeding equipment and contraception, said Nicholas Bagley, a law professor at the University of Michigan.
The case, and others like it, could threaten parts of the Obama-era health law and efforts by Democrats to grow it further. Conservative groups say they plan to continue trying to erode the law with other lawsuits.