The court ruled that the subsidies were integral to the functioning of insurance markets under the ACA, and that Congress constructed the law with that in mind. The Court did not use an alternative legal argument to uphold the subsidies – saying that the law was ambiguous but the executive branch (in this case the IRS) had the right to interpret it so that subsidies are available in both state and federal exchanges. This is not a minor distinction – that latter interpretation (used by one of the lower courts) would have meant that a future administration could come in and change the subsidy policy. The 6-3 court ruling bars a future administration from doing so. (A future Congress could still change the law regarding subsidies but a future administration couldn’t just flip a switch and stop them.) Continue reading
We’ve put up a tip sheet and written about the King v. Burwell case, but now that the ruling is imminent, we wanted to bring one more good one-stop-shopping resource to your attention and share a few tips.
The Alliance for Health Reform has issued a very good four-page tool kit – links to background articles, think tank papers, issue briefs and lots of sources. One caveat – it says that 7.5 million are subsidized in the affected states but the most recent government numbers are 6.4 million.
Other things to remember
Will fretting over King v. Burwell be remembered in the same breath as worries over Y2K?
Or will the calamity of 8 million people losing health insurance come true if the plaintiffs win their case at the U.S. Supreme Court? A ruling is expected in June.
With Alliance for Health Reform’s Marilyn Serafini acting as moderator, the Chicago chapter of AHCJ gathered on May 13 for a panel discussion on “The outlook for health insurance subsidies.” Continue reading
The first day of Health Journalism 2015 featured a session “The ACA: Will it survive? And how to cover it now” with Kaiser Health News’s Julie Appleby and Vox’s Sarah Kliff. Their major themes included:
- The King v. Burwell Supreme Court case over federal subsidies
- What’s next in Congress?
- And – the topic that got by far the most attention from the crowd – narrow networks.