The ACA provided valuable coverage and benefits for women, including older & disabled women on #Medicare. Our new @KFF brief explains what’s at stake for women as the Supreme Court considers the latest case challenging the ACA @laurie_sobel @a_salganicoff https://www.kff.org/womens-health-policy/issue-brief/loss-of-the-aca-could-greatly-erode-health-coverage-and-benefits-for-women/

The ACA phased out the Part D coverage gap, aka 'donut hole', where beneficiaries paid 100% of total drug costs. In 2018, 15% of women without low-income subsidies in Part D plans had spending in the donut hole, but paid less than 100% of total costs because of the ACA changes.

If the ACA is struck down, it's unclear what will happen to the Part D donut hole changes, since they were subsequently modified by other legislation. But if the ACA goes away entirely, including the donut hole changes, Medicare beneficiaries will face higher OOP drug costs.