king vs burwell case summary

In 1996, Massachusetts adopted the guaranteed issue and community rating requirements and experienced similar results. . The whole point of that provision is to create a federal fallback in case a State chooses not to establish its own Exchange. §1397ee(d)(3)(B). 42 U. S. C. §18031]”). The oral argument in King v. Burwell … Petitioners challenged the IRS Rule in Federal District Court. Why would a State get to control the contracting decisions of a federal Exchange? 413 U. S. 405 131, 163 (2013). market in a State must accept every . We lack the prerogative to repair laws that do not work out in practice, just as the people lack the ability to throw us out of office if they dislike the solutions we concoct.

Under the Affordable Care Act, an exchange to compare and purchase insurance plans shall be deemed established by the state regardless of whether the exchange is established by a state or the federal government. Also depending upon the ruling, it could have opened the door for regulatory agencies, Congress, and future lawsuits to have more freedom in interpreting laws with vague wording. . establish an American Health Benefit Exchange”—a marketplace where people can shop for health-insurance plans. 124Stat. What is the Health Insurance Marketplace? 895; §§1401(e), 1501(d), id., at 220, 249. 1332. Is Medicare’s Independent Payment Advisory Board a Cause for Concern? in the State or States in which such Exchange operates”—again, something the Exchange could not do if qualified individ-uals did not exist. The Act gives each State the opportunity to establish its own Exchange, but provides that the Federal Government will establish “such Exchange” if the State does not.
. The Affordable Care Act spans 900 pages; it would be amazing if its provisions all lined up perfectly with each other. . So it rewrote the law to withhold only the incremental funds associated with the Medicaid expansion. I, §1. ObamaCare and CHIP (Children’s Health Insurance Program), Maine Expanded Medicaid Under the ACA By Referendum, Some Immigrants are Eligible for Medicaid or CHIP, Tennessee Medicaid Expansion and Why it Matters, Trump Administration to Allow Medicaid Work Requirements For States, Virginia To Expand Medicaid Under the ACA, What Parents and Guardians Need to Know About CHIP, Voters Vote to Expand Medicaid in Utah, Nebraska, and Idaho, South Dakota Demands Expansion of Medicaid, States Who Embraced the ACA are Having more Success, How to Contact Your State Medicaid Department. “This combination, predictably, [threw] individual insurance markets in the territories into turmoil.” Halbig, supra, at 410. Cf.
The Act gives each State the opportunity to establish its own Exchange, but provides that the Federal Government will establish the Exchange if the State does not. The Act that Congress passed provides that every individual “shall” maintain insurance or else pay a “penalty.” Ante, at 19. . The ACA sets forth a framework for each state to create a health insurance marketplace, called an “exchange,” through which individuals can compare and purchase coverage plans . Or consider, for an even closer parallel, a neighboring provision that initially makes taxpayers of all States eligible for a credit, only to provide later that the amount of the credit may be zero if the taxpayer’s State does not satisfy certain requirements. Furthermore, the ACA added Section 36B to the Internal Revenue Code, which provided that taxpayers could receive a credit against the tax imposed by that subtitle in an amount equal to the premium assistance credit amount of the taxpayer for the relevant year. establishes . Id., at 842–843. This Court’s “preference for avoiding surplusage constructions is not absolute.” Lamie v. United States Trustee, Find out what happens if you miss open enrollment. King V Burwell and the Supreme Court Case. v. United States ex rel. And that is because—diving several layers down into the Tax Code—Section 36B says that the amount of the tax credits shall be “an amount equal to the premium assistance credit amount,” §36B(a); and then says that the term “premium assistance credit amount” means “the sum of the premium assistance amounts determined under paragraph (2) with respect to all coverage months of the taxpayer occurring during the taxable year,” §36B(b)(1); and then says that the term “premium assistance amount” is tied to the amount of the monthly premium for insurance purchased on “an Exchange established by the State under [42 U. S. C. §18031],” §36B(b)(2); and then says that the term “coverage month” means any month in which the taxpayer has insurance through “an Exchange established by the State under [ to disregard clear language simply on the view that . In weighing this argument, it is well to remember the difference between giving a term a meaning that duplicates another part of the law, and giving a term no meaning at all.

It is entirely plausible that tax credits were restricted to state Exchanges deliberately—for example,in order to encourage States to establish their own Exchanges. Many Americans are in Single-Payer Systems Already, Allowed Amount and Balance Billing (Health Insurance). Here, the statutory scheme compels us to reject petitioners’ interpretation because it would destabilize the individual insurance market in any State with a Federal Exchange, and likely create the very “death spirals” that Congress designed the Act to avoid. Under the IRS Rule, however, Virginia’s Exchange would qualify as “an Exchange established by the State under [ First, the Act instructs each State to establish its own exchange. The Act that Congress passed also requires every State to accept an expansion of its Medicaid program, or else risk losing all Medicaid funding. 26 U. S. C. §36B(f)(3). Assn. The Patient Protection and Affordable Care Act (ACA), popularly known as Obamacare, gave rise to IRS regulations that interpreted the ACA's language regarding exchanges for comparing and purchasing health insurance plans that were established by states under Section 1311. . . 290 (2010) . This Court, however, saw that the Spending Clause does not authorize this coercive condition. v. Timbers of Inwood Forest Associates, 484 U.S. 365 (1988). 107 U. S. 147, The tax credits are one of the Act’s key reforms and whether they are available on Federal Exchanges is a question of deep “economic and political significance”; had Congress wished to assign that question to an agency, it surely would have done so expressly. Even if that were not so, of course, its location would not make it any less clear. Are Able Bodied Adults Taking Advantage of Medicaid? 159 (2000) But this Court’s two decisions on the Act will surely be remembered through the years. The Court of Appeals for the Fourth Circuit affirmed.

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