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Enacted in 2017, the Tax Cuts and Jobs Act eliminated the individual mandate penalties of the Affordable Care Act (ACA). Now, a case before the US District Court for the Northern District of Texas about the individual mandate could open the door to ending the ACA. Our analysis shows that if the entire law were eliminated, the number of uninsured people would increase by 17.1 million, or 50 percent, in 2019; this estimate reflects coverage losses over and above the losses associated with setting the individual mandate penalties to $0.