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More recently, Republican Senator Ted Cruz spoke for 21 hours and 19 minutes in 2013 to protest the Affordable Care Act, which had been law for three years when he got an itch.

Judges also took aim at longer-standing progressive programs, as when Judge Reed O’Connor of Fort Worth, a George W. Bush appointee, declared the entire Affordable Care Act unconstitutional in 2018.

Another avenue is eliminating the current matching rate for Medicaid expansion under the Affordable Care Act.

In recent years, federal district and appellate courtsissued injunctions limiting portions of former President Biden’s attempts to forgive student debt and parts of former Obama’s Affordable Care Act.

In 2017, he voted along party lines and joined his Republican colleagues to repeal and replace the Affordable Care Act.