SCOTUS to Revisit Obamacare Subsidies

Jackson

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SCOTUS to rule on ACA subsidies; Could Crash Obamacare Economic Balance


Posted Fri, November 7th, 2014 12:49 pm by Lyle Denniston

The Supreme Court, moving back into the abiding controversy over the Affordable Care Act, agreed early Friday afternoon to decide how far the federal government can extend its program of subsidies to buyers of health insurance.

At issue is whether the program of tax credits applies only in the consumer marketplaces set up by sixteen states, and not at federally operated sites in thirty-four states.

Rather than waiting until Monday to announce its action, which would be the usual mode at this time in the Court year, the Justices released the order granting review of King v. Burwellnot long after finishing their closed-door private Conference.

By adding the case to its decision docket at this point, without waiting for further action in lower federal courts, as the Obama administration had asked, the Court ensured that it would rule on the case during the current Term. If it decides to limit the subsidies to the state-run “exchanges,” it is widely understood that that outcome would crash the ACA’s carefully balanced economic arrangements.

The Court’s Friday orders are here; it also granted review of a case on deadlines for serving papers in federal civil cases. The two cases probably will be heard by the Court in the first week of March. The argument calendar was full up to that point.

Since the health care exchanges have been in operation, nearly five million individuals have received federal subsidies to help them afford health insurance on an exchange run by the federal government. The average subsidy has been about $4,700 per person.

The fate of those subsidies apparently will now depend upon how the Court interprets four words in the Affordable Care Act. In setting up the subsidy scheme, Congress said it would apply to exchanges “established by the State.”

The challengers to subsidies for those who shop for insurance on a federal exchange have argued that those words limit the availability to the tax benefits solely to state-run exchanges. That argument failed in the U.S. Court of Appeals for the Fourth Circuit, in the ruling now under review. It was accepted in the U.S. Court of Appeals for the District of Columbia Circuit, but that ruling has now been set aside while the full D.C. Circuit reconsiders the issue.

Court to rule on health care subsidies SCOTUSblog
 
Granny says if she had a chance to argue the case, she'd argue it's costing people too much money...

U.S. Supreme Court Agrees to Hear Obamacare Subsidy Case
November 7, 2014 – The U.S. Supreme Court announced Friday that it would hear a case challenging the payment of billions of dollars of subsidies to Americans enrolled in Obamacare health care exchanges run by the federal government.
The justices will hear an appeal filed on behalf of four Virginia residents who maintain that subsidies to buy health insurance under the Affordable Care Act (ACA) only apply to an “exchange established by the state.” Fourteen states set up their own insurance exchanges. But 36 states, including Virginia, declined to do so, so residents in those states use exchanges set up and run by the federal government under HealthCare.Gov.

The appeal pointed out that a 2012 rule by the Internal Revenue Service (IRS) that subsidies could be paid to enrollees of federally-operated exchanges was in direct conflict with the statutory language. “Notwithstanding the ACA’s text and purpose, the IRS in 2011 proposed, and in 2012 promulgated, regulations requiring the Treasury to grant subsidies for coverage purchases through all Exchanges – not only those established by states under Section 1131 of the Act, but also those established by HHS under Section. 1321…. "These regulations contradict the statutory text restricting subsidies to Exchanges ‘established by the State under section 1311,” according to the lawsuit.

Noting conflicting rulings on the IRS Rule by two appeals courts, the appellants noted: “The resulting uncertainty over this major plank of ACA implementation means that millions of people have no idea if they may rely on the IRS’s promise to subsidize their health coverage, or if that money will be clawed back. “Employers in 36 states have no idea if they will be penalized under the ACA’s employer mandate, or are effectively exempt from it. “Insurers have no idea if their customers will pay for health coverage in which they enrolled, or if large numbers will default. “And the Treasury has no idea if billions of dollars being spent each month were authorized by Congress, or if these expenditures are illegal. Only this Court can definitively resolve the matter.”

White House spokesman Josh Earnest attacked the lawsuit in a statement as a “partisan attempt to undermine the Affordable Care Act and to strip millions of American families of tax credits that Congress intended them to have.” But the high court’s decision to hear the case is considered a “significant setback for the Obama administration." Ann Purvis, with the National Center for Policy Analysis, points out that "if the subsidies are struck down, insurance costs for many will skyrocket." Purvis pointed to a recent RAND Corporation study predicting that "eliminating subsidies entirely would send premiums rising by up to 43 percent and drop Obamacare enrollment by 68 percent."

U.S. Supreme Court Agrees to Hear Obamacare Subsidy Case CNS News
 
aca has a high deductible even if you take a plan with a lower one ....you end up paying about the same.....
the bronze plan has an 11 k deductible....the average bankruptcy for medical bills is about 11 k.....i just find that odd

and now they are talking about making people pay back the subsidies.....let me think....you first force people to enroll and now you are gonna penalize them...and does the gop have any plan for the millions that this leaves uninsured?
 
aca has a high deductible even if you take a plan with a lower one ....you end up paying about the same.....
the bronze plan has an 11 k deductible....the average bankruptcy for medical bills is about 11 k.....i just find that odd

and now they are talking about making people pay back the subsidies.....let me think....you first force people to enroll and now you are gonna penalize them...and does the gop have any plan for the millions that this leaves uninsured?

I believe the Republicans did have a plan.
 
The ACA is dying the death of a thousand cuts. Either parts are being delayed, or rolled back by the Courts or changed by fiat.
Time to scrap the whole unworkable mess and start over with some real reform that addresses the actual problems of health care. THat actual problem is that the people buying health care and the people paying for health care are not the same people.
 

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