The survival of the Affordable Care Act (ACA) appears more assured than ever after the Supreme Court rejected the latest Republican attempt to overturn the 2010 law. In the wake of the June ruling, the discussion in Washington has shifted to how the landmark law, which sought to lower the nation’s uninsured rate, can be expanded. President Biden has taken executive actions aimed at increasing health insurance access, and congressional Democrats are considering expanding Medicare, the insurance program for Americans 65 and older. A new law increased subsidies for many enrollees on the ACA marketplace and temporarily subsidized health insurance for the recently unemployed. The COVID-19 pandemic continues to put medical care and insurance coverage at the forefront of American politics.