On December 18, 2019, The Fifth U.S. Circuit Court of Appeals ruled that the Affordable Care Act’s (ACA) individual mandate is unconstitutional and the case was sent back to a U.S. district court in Texas to determine the overall law’s fate. While the Court of Appeals stopped short of invalidating the entire ACA, the decision prolongs the court process and ensures that the future of the landmark healthcare law remains uncertain. As reported by Modern Healthcare: Hospital, insurer and patient advocacy groups along with Democratic lawmakers, lamented that the appeals court was unwilling to determine whether the entire ACA could stand without the individual mandate, saying that not doing so creates further chaos in the health care system and is harmful to Americans.