On December 14, a federal judge in Texas issued a sweeping ruling in a lawsuit that attempts to invalidate the entire Affordable Care Act (ACA). The decision by Judge Reed O’Connor of the Northern District of Texas in Texas v. Azar holds that the ACA is unconstitutional. Despite this expansive ruling and the ample confusion that it has already caused, the ACA remains the law of the land, and we believe that will remain the case for the foreseeable future.