Xavier Becerra Becerra has been one of Trump's most formidable adversaries, taking the administration to court scores of times over its policies, ranging from immigration and birth control to climate change. (Photo: Drew Angerer/Bloomberg)

SACRAMENTO — When the U.S. Supreme Court hears a case Tuesday that could decide the fate of the Affordable Care Act, California will be leading the defense to uphold the federal law that touches nearly every aspect of the country's health care system.

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