ACA Sign Only four states in the US have adopted all three protections afforded by the ACA: guaranteed issue; adjusted community rating; and a prohibition on pre-existing condition exclusions. (Photo: Shutterstock)

A lawsuit that has the support of the Trump Administration may bring back the practice of denying insurance coverage for pre-existing conditions. Should the lawsuit succeed in its attempt to overturn consumer protections that prevent insurers from excluding Americans with pre-existing conditions, some states are going to feel the impact more than others.

A new report from the Commonwealth Fund looks at the possible consequences of the lawsuit, which claims that since the individual mandate provision of the Affordable Care Act was eliminated by last year's tax cut legislation, the other provisions of the health care law must be found unconstitutional.

Recommended For You

Complete your profile to continue reading and get FREE access to BenefitsPRO, part of your ALM digital membership.

Your access to unlimited BenefitsPRO content isn’t changing.
Once you are an ALM digital member, you’ll receive:

  • Breaking benefits news and analysis, on-site and via our newsletters and custom alerts
  • Educational webcasts, white papers, and ebooks from industry thought leaders
  • Critical converage of the property casualty insurance and financial advisory markets on our other ALM sites, PropertyCasualty360 and ThinkAdvisor
NOT FOR REPRINT

© 2025 ALM Global, LLC, All Rights Reserved. Request academic re-use from www.copyright.com. All other uses, submit a request to [email protected]. For more information visit Asset & Logo Licensing.