,,iii  #aaf? ,,congress  #a/ ,session   
,s4 ,,res4 #id  ,,9 ,,! ,,s5ate ,,( ,,! 
,,unit$ ,,/ates  ,m>* #e1 #bjai ,ms4    
,hirono 7= h]self1 ,mr4 ,man*91 ,ms4    
,klobu*>1 ,ms4 ,duckwor?1 ,mr4          
,:iteh\se1 ,mr4 ,te/]1 ,ms4 ,hassan1    
,ms4 ,baldw91 ,mr4 ,m]kley1 ,mr4 ,jones1
 ,ms4 ,s9ema1 ,mr4 ,durb91 ,mr4         
,blum5?al1 ,mrs4 ,fe9/e91 ,mr4 ,coons1  
,ms4 ,ros51 ,mr4 ,k+1 ,mr4 ,leahy1 ,ms4 
,smi?1 ,mr4 ,br[n1 ,ms4 ,cortez ,ma/o1  
,mrs4 ,%ahe51 ,ms4 ,h>ris1 ,mr4 ,book]1 
,mr4 ,re$1 ,mr4 ,s*um]1 ,ms4 ,w>r51 ,mr4
 ,m>key1 ,mr4 ,m55dez1 ,mr4 ,b5net1 ,ms4
 ,/ab5[1 ,mr4 ,wyd51 ,mrs4 ,gillibr&1   
,mr4 ,van ,holl51 ,mr4 ,casey1 ,mr4     
,he9ri*1 ,mr4 ,ka9e1 ,mrs4 ,murray1 ,mr4
 ,murphy1 & ,mr4 ,udall7 submitt$ !     
foll[+ resolution2 :i* 0 ref]r$ to !    
,committee on ! ,judici>y  ,,resolution 
,express+ ! s5se ( ! ,s5ate t !         
,dep>tm5t ( ,ju/ice %\ld protect        
individuals ) pre-exi/+ m$ical          
conditions by def5d+ ! ,pati5t          
,protection & ,af=dable ,c>e ,act       

7,public ,law #aaa-adh2 #abd ,/at4 #aai7
 9 ,texas v4 ,unit$ ,/ates1 ,no4        
#d3ah-;cv-#jjafg-,o 7,n4,d4 ,tex471 9   
:i* ! pla9tiffs seek to invalidate      
protections = individuals ) pre-exi/+   
m$ical conditions4  ,:]eas1 9 #bjaj1    
,congress pass$ & ,presid5t ,b>ack      
,obama sign$ ! ,pati5t ,protection &    
,af=dable ,c>e ,act 7,public ,law       
#aaa-adh2 #abd ,/at4 #aai7 79 ?is       
preamble ref]r$ to z ! ,,aca72 ,:]eas1  
prior to ! enactm5t ( ! ,,aca1          
individuals ) pre-exi/+ m$ical          
conditions 7 r\t9ely d5i$ heal?         
insurance cov]age1 *>g$ exorbitant rates
 = heal? insurance cov]age1 expos$ to   
unreasonable out-(-pocket co/s = heal?  
c>e1 or subject to lifetime limits on   
heal? insurance cov]age2 ,:]eas ! ,,aca 
in/itut$ compreh5sive protections =     
individuals ) pre-exi/+ m$ical          
conditions1 includ+--  7#a7 ! protection
 commonly kn[n z gu>ante$ issue1 :i*    
requires heal? insurance companies to   
issue a heal? plan to any applicant     

reg>dless ( heal? /atus or o!r factors1 
"u section #bgjb ( ! ,public ,heal?     
,s]vice ,act 7#db ,u4,s4,c4 #cjj;gg-#a72
  7#b7 ! protection commonly kn[n z     
community rat+1 :i* prohibits heal?     
insurance companies f v>y+ premiums )9 a
 geographical area bas$ on g5d] or heal?
 /atus & limits ! ability ( heal?       
insurance companies to v>y premiums bas$
 on age1 "u section #bgja ( ! ,public   
,heal? ,s]vice ,act 7#db ,u4,s4,c4      
#cjj;gg72 &  7#c7 ! prohibition on      
discrim9ation bas$ on heal? /atus1 :i*  
prohibits exclud+ f a heal? plan b5efits
 = pre-exi/+ m$ical conditions or       
e/abli%+ eligibility rules bas$ on      
pre-exi/+ m$ical conditions1 "u sections
 #bgjd & #bgje7;a7 ( ! ,public ,heal?   
,s]vice ,act 7#db ,u4,s4,c4 #cjj;gg-#c1 
#cjj;gg-#d7;a772  ,:]eas1 on ,june #g1  
#bjah1 pursuant to section #ecj;,d (    
title #bh1 ,unit$ ,/ates ,code1 !n      
,attorney ,g5]al ,jeff]son ,sessions1 "u
 ! direction ( ! ,presid5t1 notifi$     
,congress t ! ,dep>tm5t ( ,ju/ice--     

7#a7 w\ld n def5d ! con/itutionality ( !
 requirem5t to ma9ta9 m9imum ess5tial   
cov]age "u section #ejjj;,a ( ! ,int]nal
 ,rev5ue ,code ( #aihf1 z add$ by !     
,,aca2 &  7#b7 w\ld argue t c]ta9       
provisions ( ! ,,aca1 includ+ !         
provisions protect+ an e/imat$          
#acc1jjj1jjj individuals 9 ! ,unit$     
,/ates ) pre-exi/+ m$ical conditions1   
are insev]able f ! requirem5t to ma9ta9 
m9imum ess5tial cov]age2  ,:]eas !      
,unit$ ,/ates ,di/rict ,c\rt = ! ,nor!rn
 ,di/rict ( ,texas-- 7#a7 issu$ an ord] 
decl>+ t--  7,a7 ! requirem5t to ma9ta9 
m9imum ess5tial cov]age is              
uncon/itutional2 &  7,b7 ! rema9+       
provisions ( ! ,,aca1 includ+           
protections = individuals ) pre-exi/+   
m$ical conditions1 are insev]able f t   
requirem5t2 &  7#b7 invalidat$ ! rema9+ 
provisions ( ! ,,aca2 ,:]eas ! decision 
( ! ,unit$ ,/ates ,di/rict ,c\rt = !    
,nor!rn ,di/rict ( ,texas 0 /ay$ & is   
p5d+ appeal be=e ! ,unit$ ,/ates ,c\rt (
 ,appeals = ! ,fif? ,circuit2 ,:]eas !  

refusal ( ! ,dep>tm5t ( ,ju/ice to def5d
 ! ,,aca1 z ev5 !n ,attorney ,g5]al     
,sessions ackn[l$g$ 9 8 notice to       
,congress1 contrav5$ ! ,executive       
,bran*'s long/&+ tradition ( def5d+ !   
con/itutionality ( duly enact$ /atutes  
if reasonable argum5ts c be made 9 _!   
def5se2 ,:]eas reasonable argum5ts c be 
made 9 def5se ( ! ,,aca1 z evid5c$ by an
 amicus brief fil$ by legal exp]ts1     
includ+ exp]ts :o support$ o!r legal    
*all5ges to ! ,,aca2 & ,:]eas1 by argu+ 
t ! gu>ante$ issue1 community rat+1 &   
o!r protections prohibit+ discrim9ation 
are insev]able f ! rema9+ provisions ( !
 ,,aca & !re=e ! rema9+ provisions ( !  
,,aca are invalid1 ! ,dep>tm5t ( ,ju/ice
 is risk+ vital protections = ! e/imat$ 
#acc1jjj1jjj individuals 9 ! ,unit$     
,/ates ) pre-exi/+ m$ical conditions3   
,n[1 !re=e1 be x  ,t x is ! s5se ( !    
,s5ate t ! ,dep>tm5t ( ,ju/ice %\ld     
protect individuals ) pre-exi/+ m$ical  
conditions1 includ+ by rev]s+ its       
position & def5d+ ! critically important

 provisions ( ! ,pati5t ,protection &   
,af=dable ,c>e ,act 7,public ,law       
#aaa-adh2 #abd ,/at4 #aai7 9 ,texas v4  
,unit$ ,/ates1 ,no4 #d3ah-;cv-#jjafg-,o 
7,n4,d4 ,tex474