Late in the evening on Friday, Dec. 14, a Texas federal judge struck down the entire Affordable Care Act. It wasn’t long after that the California attorney general's office said California and other defendant states would challenge the ruling with an appeal in the U.S. Court of Appeals for the Fifth Circuit. California and the others probably will focus on the various patient protections such as coverage for pre-existing conditions. Such an approach would by necessity also include the other patient protections such as Section 2706 of the Act. What we know now is that the law will remain in place through the appeal process up to its probable hearing before the Supreme Court.