Gavel on flag A lawsuit filed by 20 Republican states calls on federal courts to find the health law's protections for people with pre-existing conditions unconstitutional. (Photo: Shutterstock)

If the Affordable Care Act's protections for people with preexisting medical conditions are struck down in court, residents of the Republican-led states that are challenging the law have the most to lose.

“These states have been opposed to the ACA from the beginning,” said Gerald Kominski, a senior fellow at the UCLA Center for Health Policy Research. “They're hurting their most vulnerable citizens.”

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