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July 2019

Texas v. United States Toolkit

Key Messages

  • Striking down the Affordable Care Act will fall harshly on America's children, especially those who have a pre-existing condition. The law ensures that no child can be denied health care coverage based on a pre-existing condition.
  • If the ACA is struck down, parents of children with cancer, children born with a birth defect, children with asthma, and kids with special needs, among others, will no longer be able to get coverage for their children.
  • Because of the ACA, parents can keep their dependent children on their health plans up to age 26. They will lose extended coverage for their dependent children if the ACA is struck down.
  • If we lose the ACA, insurers will once again be able to set annual limits on coverage for children with pre-existing conditions. 
  • 20 million will lose access to healthcare coverage if the ACA is struck down.
  • If the Trump-GOP lawsuit is successful, it would strip coverage from millions of Americans, end protections for pre-existing conditions, raise premiums, force millions of seniors to pay more for prescription drugs, and put insurance companies back in charge.  This would effectively destroy the entire backbone of our country’s health care system.   
  • More of the same: More sabotage. New ways to rip health care from 20 million Americans. More tricks to fund tax breaks for the wealthy and line the pockets of already-wealthy corporate CEOs.
  • The date for oral arguments in the President Trump-backed Texas v. US lawsuit to strike down our health care law is Tuesday, July 9, 2019. It is crucial to call out this sabotage on our health care system and emphasize that if the Affordable Care Act is struck down, health care costs will go up dramatically and millions of Americans will be left uninsured.

Testimony: Frederick Isasi's Written Testimony To The House Oversight And Reform Committee on Texas v. United States 

Fast Facts: Four Things You Need To Know About Texas v. United States Litigation


Issue Briefs on Effects of Losing the ACA


Our Experts' Twitter Handles






Suggested Tweets

@FamiliesUSA is committed to ensuring that all Americans have access to the best, most affordable healthcare and that they don’t go bankrupt in the process. #TexasvUS threatens to leave millions of people uninsured. #whatyouwilllose #healthcaresabotage 

At @FamiliesUSA, healthcare consumers are our priority. Your stories, your pains, your triumphs drive us to continue advocating for you. In light of #TexasvUS we wanted to ask you: How would losing the #ACA impact you? Click the link to share your story.

Before the #ACA, insurance companies routinely denied people coverage because of a pre-existing condition or canceled coverage when a person got sick. Join @FamiliesUSA in fighting for the healthcare of millions of Americans with #PreExistingConditions! #healthcaresabotage

#TexasvUS is, at its core, an extremely overt form of #healthcaresabotage. Millions of Americans rely on the #ACA and if it hadn’t been for the #ACA, many Americans would not be alive today. Let’s do what’s right for the men, women and children of America! #handsoffmyhealthcare



Paul Gibbs was born in with a serious medical condition in both kidneys, which required him to have 9 surgeries before he was 5 years old.

When he eventually needed a kidney transplant as an adult, he was uninsured, as it was very hard for someone born with serious medical issues to get insurance before the passage of the ACA. Paul had to rely on Medicare and Medicaid for the $79,000 surgery, but before he could even apply to Medicare, the insurance forced him to undergo 3 months of dialysis just to qualify, against the recommendation of his doctors. Paul was diagnosed with late stage kidney failure toward the end of the 2008, and couldn’t get his surgery until July 2009, despite his doctors saying he was fit for surgery the next day.

Thanks to the protections of the ACA, he was able to transition to private insurance within a few years and have his pre-existing condition protected.  Because of this he is still here and his two sons, 3 years old and 4 months old, had a chance to be born. Paul's younger son was born with a kidney condition that requires surgery. Without ACA protections, he would be branded for life and it would be nearly impossible for him to get insurance as an adult. Paul’s son had surgery on June 21 to prevent his right kidney from deteriorating more than it already has.

Paul credits the ACA with allowing him to live his life. “I wouldn’t be here without the ACA. My two children would not have a chance to be born… It gave me my life, it gave me family.”


Christina Rankin's family has always had access to insurance. Despite being covered by private insurance, Christina says that the family benefitted from assistance through Denali KidCare (Alaska’s CHIP program) when they needed it most. 

In 2010, Christina was pregnant with twins. At 22 weeks, she lost one of the twins and was put on strict bed rest to ensure that the second twin survived. Her doctors hoped that they would be able to put off delivery until 28 weeks. Unfortunately, her daughter came at 23 weeks. At birth, she was 1 pound 2 ounces---officially a micro-preemie (less than 1,000 grams). 

Christina’s daughter was put on “every monitor imaginable” and was in the NICU for months. “Our bills were well over $1 million,” she says. Fortunately, Denali KidCare covers all micro-preemies born in the state. Through her care, Christina says that they were able to overcome all of the early challenges, plus pneumonia at 18 months. 

Additionally, her daughter was born with mild cerebral palsy. She currently requires physical therapy that their employer-based insurance doesn’t cover. It’s a grandfathered plan, and fortunately, Denali KidCare is able to make up the difference.

Christina says that you wouldn’t know that her daughter was premature looking at her. She’s in the 90th percentile for height and does well in school---she doesn’t suffer from many of the same problems that other preemies have. 

Because of their situation, Christina is especially concerned with lifetime caps and pre-existing conditions going forward. “My daughter shouldn’t be discriminated against for the rest of her life because of what happened when she was born."

Christina's daughter recently celebrated her ninth birthday. She is a healthy child, only needing braces for her cerebral palsy. She has not been hospitalized since she was 2. To Christina, the idea that her daughter could be completely denied coverage because of how early she was born is ludicrous considering her whole life since then.