If a federal judge in Texas agrees with the Department of Justice’s (DOJ) move to not defend the constitutionality of the Affordable Care Act (ACA), millions of Americans could lose their healthcare coverage or face higher premiums for having preexisting conditions, a legal professor wrote Friday in a blog post for The Commonwealth Fund. And America’s Health Insurance Plans (AHIP), an association for the nation’s health insurers, issued a statement saying that the end of the individual mandate should not mean a loss of consumer protections for patients.