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ACA Sign Only four states in the US have adopted all three protections afforded by the ACA: guaranteed issue; adjusted community rating; and a prohibition on pre-existing condition exclusions. (Photo: Shutterstock)

A lawsuit that has the support of the Trump Administration may bring back the practice of denying insurance coverage for pre-existing conditions. Should the lawsuit succeed in its attempt to overturn consumer protections that prevent insurers from excluding Americans with pre-existing conditions, some states are going to feel the impact more than others.

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