Another marquee dispute over the constitutionality of the Affordable Care Act (ACA) is poised to reach the Supreme Court in 2020, as Democrat state attorneys general vow to appeal a lower court ruling that declared the individual mandate unlawful.

California Attorney General Xavier Becerra, who intervened to defend the ACA in court after the Trump administration refused to do so, strongly indicated he would seek Supreme Court review of the 5th U.S. Circuit Court of Appeals’s Wednesday decision striking down the individual mandate.

“What the lower district court gave us, and now what the appellate court in the Fifth [Circuit] gave us, was uncertainty,” Becerra told NPR. “And Americans are fed up with uncertainty when it comes to whether or not they can send their child to a doctor or the hospital. We deserve to have certainty. Health care is not some widget that you play with. It’s life and death.”

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