The Affordable Care Act (ACA) created important coverage avenues and consumer protections for people of all ages. From expanding access to affordable care to preventing discrimination based on health status, as well as improving Medicare’s financial outlook, the ACA significantly strengthened the nation’s health care infrastructure. Despite these successes, in recent years the health law has been under attack in Congress, the states, and the courts. During the 2020 election cycle, voters should pay attention to candidates’ statements about the ACA, including their stance on its elimination. In this document, we present a few ways the ACA has changed health coverage and what’s at stake if it is repealed or eliminated.