NAMI HelpLine

May 13, 2020

NAMI, along with nineteen patient groups representing millions of Americans with pre-existing conditions filed an amicus curiae (“friend-of-the-court”) brief today with the U.S. Supreme Court in the case California v. Texas (previously Texas v. United States). The brief cites the devastating impact people with mental illness would face should the court rule to invalidate the Affordable Care Act (ACA). 
 
If upheld, the invalidation of the ACA would touch nearly every corner of the health care system and would be devastating for people with mental health conditions. NAMI will continue to fight for people with mental illness and urges the Supreme Court to preserve health care for millions of Americans.
 
Following is the groups’ joint statement: 
 
“While the coronavirus pandemic further highlights the importance of access to meaningful health insurance coverage for millions of Americans – especially for those who are at high-risk of being severely affected by the virus – patient protections in the ACA provide an essential lifeline for countless Americans who have pre-existing or acute conditions like heart disease, cancer, diabetes and asthma. 
 
If the entire health care law is invalidated, health plans could once again deny coverage to anyone with a pre-existing condition, set arbitrary lifetime and annual limits on care, and skirt essential benefits necessary to prevent and treat acute conditions. The link between access to comprehensive health coverage and patient outcomes is well established. Because of the ACA there have been statistically significant shifts toward early-stage diagnosis for several common cancers, a surge of people getting screened for and diagnosed with diabetes, and a significant drop in uninsured substance abuse or mental health disorder hospitalizations in states that expanded Medicaid.
 
Invalidating the law would likely reverse these gains. It also would jeopardize the federal tax credits that make health insurance more affordable for millions of Americans, threatening their access to critical health coverage, and rescind Medicaid expansion funding, crippling the safety net health insurance program at a time when millions more unemployed Americans have no alternate coverage option. 

Undoing the patient protections and improved health care access would ignore the will of Congress at the expense of millions of Americans who would lose their coverage and millions more who would likely be unable to obtain coverage due to pre-existing conditions. We urge the Supreme Court to uphold the decade-old law and preserve access to health insurance – and therefore health care—for millions of Americans.”

Read the Brief
 

 
The groups on the brief include the American Cancer Society, American Cancer Society Cancer Action Network, American Diabetes Association, American Heart Association, and its division, the American Stroke Association, American Lung Association, Crohn’s & Colitis Foundation, Cystic Fibrosis Foundation, Epilepsy Foundation, Hemophilia Federation of America, Leukemia & Lymphoma Society, March of Dimes, Muscular Dystrophy Association, National Alliance on Mental Illness, National Coalition for Cancer Survivorship, National Hemophilia Foundation, National Multiple Sclerosis Society, National Organization for Rare Disorders, National Patient Advocate Foundation, and the Kennedy Forum.
 

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