The government has had to reassure Americans that the Friday ruling does not affect this year's open enrollment, including through HealthCare.gov, which ends Saturday. Alex Brandon/AP hide caption
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Affordable Care Act
People who earn up to 400 percent of the poverty level (about $48,500 for an individual and $100,400 for a family of four in 2019) are eligible for subsidies of the cost of their marketplace health plans. But many of the 5 million who aren't eligible feel crushed by rising costs. Stuart Kinlough/Ikon Images/Getty Images hide caption
Ruling Backs States Opposed To Obamacare; White House Expects Appeal
The deadline for signing up for individual health insurance coverage on HealthCare.gov ends Saturday, Dec. 15. Patrick Sison/AP hide caption
The Trump administration said Thursday it wants states to innovate in ways that could produce more lower-cost health insurance options — even if those alternatives do not provide the same level of financial or medical coverage as an ACA plan. Getty Images hide caption
Affordable Care Act navigator Nini Hadwen (right) helped Jorge Hernandez (left) and Marta Aguirre find a plan on the health insurance exchange in Miami in 2013. Today, with fewer navigators, much of that counseling is done by phone instead of in person. Joe Raedle/Getty Images hide caption
More than half of all counties in the 39 states that rely on the federal HealthCare.gov exchange for ACA health insurance are experiencing a 10 percent price decrease, on average, for their cheapest plan for 2019. Patrick Sison/AP hide caption
Many Who Buy ACA Health Plans For 2019 Find Lower Prices And More Choice
Kaiser Health News
Many Who Buy ACA Health Plans For 2019 Find Lower Prices And More Choice
Matthew Whitaker is pictured at an event in Washington in August. President Trump this month appointed Whitaker as acting attorney general. Chip Somodevilla/Getty Images hide caption
Maryland Says Matthew Whitaker Appointment As Acting Attorney General Is Unlawful
Montana Gov. Steve Bullock, a Democrat, warned that failure of a Medicaid-funding initiative on the ballot could make for a tough legislative session in 2019. William Campbell/Corbis via Getty Images hide caption
Open enrollment for 2019 health plans begins Nov. 1 on HealthCare.gov and on most state insurance exchanges. Healthcare.gov via Screenshot by NPR hide caption
Grant Burningham, who lives in Bountiful, Utah, worked to get a referendum on Medicaid expansion on the Utah ballot in November. Kim Raff for NPR hide caption
Shelton Allwood joined other demonstrators in Miami last year calling for continued protection for people who have pre-existing medical conditions. Joe Raedle/Getty Images hide caption
Organizers with Idahoans for Healthcare have been driving this green vehicle around the state to campaign for Medicaid expansion. Phil Galewitz/Kaiser Health News hide caption
As Sen. Joe Manchin, a Democrat from West Virginia, campaigns for re-election, he has warned that 800,000 West Virginians with pre-existing conditions could lose health coverage. Drew Angerer/Getty Images hide caption
Sutter Health Alta Bates Summit Medical Center, in Oakland, Calif. is one of hundreds of hospitals serving poor patients that will get some reprieve from Medicare's readmissions penalties. Smith Collection/Gado/Getty Images hide caption
Demonstrators held signs outside the U.S. Capitol in Washington DC on June 26, 2018 while Democratic leaders called on the Trump administration to uphold the preexisting conditions provision of the Affordable Care Act. Now the issue may be decided in court. Aaron P. Bernstein/Getty Images hide caption
Despite the political uncertainties, insurance companies have started to learn how to make a profit on the plans they offer through the Affordable Care Act. Erik McGregor/Pacific Press/LightRocket via Getty Images hide caption
Analysts Predict Health Care Marketplace Premiums Will Stabilize For 2019 Coverage
If you earn too much to get a subsidy to help defray the cost of health insurance, you might find a less expensive policy off an exchange. PeopleImages/Getty Images hide caption
Changes from the Centers for Medicare and Medicaid Services could affect how some hospitals operate. David Sacks/Getty Images hide caption
President Trump, pictured in July 2017. Four cities are suing Trump and his administration for allegedly undermining the Affordable Care Act in violation of the Constitution. Alex Brandon/AP hide caption
Short-term health care plans could be a more affordable option for some consumers, but they're exempt from covering people with pre-existing conditions. Dreet Production/Alloy/Getty Images hide caption
Senate Majority Leader Mitch McConnell (from left), Supreme Court nominee Brett Kavanaugh and Vice President Pence met on Capitol Hill Tuesday, ahead of meetings with Republican senators. Democrats vow to challenge Kavanaugh's nomination in upcoming hearings. Chip Somodevilla/Getty Images hide caption