The Supreme Court shaped the political discourse on healthcare policy in 2020 by agreeing in March to take up a challenge to the Affordable Care Act advanced by Republican attorneys general and supported by the Trump administration. Democrats used the specter of the ACA being overturned as a campaign message on healthcare. The case became even more high stakes when Justice Ruth Bader Ginsburg died and President Donald Trump nominated the conservative appellate judge Amy Coney Barrett to succeed her. The court, including Barrett, heard oral arguments on Nov. 10 and is expected to rule by early summer 2021.
The 2020 elections will usher in a new administration led by President-Elect Joe Biden. Control of the Senate won’t be determined until 2021, after two January runoffs in Georgia. But Republicans currently hold more Senate seats, which could pose serious roadblocks for Biden’s legislative agenda and his nominees in healthcare policy.