Courts differ on ACA exchange subsidies

medical medicine health

WASHINGTON. — The battle over Obamacare took a dramatic turn Tuesday with a federal appeals court rejecting subsidies paid by the government to millions of new enrollees.

In a 2-1 ruling, a three-judge panel found the federal money that helped people afford health insurance only could go to those who signed up through exchanges run by states.

That’s what the law specified, the ruling said, meaning those who signed up through the federal government aren’t eligible for the subsidies that helped them afford coverage.

Only 16 states and the District of Columbia set up their own exchanges, meaning that the 4.7 million who signed up for subsidized health coverage overall under Obamacare through HealthCare.gov could be affected.

However, a few hours later, another federal court unanimously approved the same subsidies.

President Barack Obama’s administration will appeal the first decision to the full D.C. Circuit Court of Appeals, the Justice Department announced, and the case will likely reach the Supreme Court.

For now, the law remains unchanged and the subsidized policies are unaffected until the legal case plays out, White House spokesman Josh Earnest told reporters.

He cited three other cases on the same issue also argued in federal courts, noting two had been dismissed and that Tuesday’s ruling was the first appellate decision against the government’s position.

If the final result backs the appeals decision, the result would wipe out subsidies and undermine a key component of Obamacare’s requirement that all Americans obtain health coverage.

The easiest fix, changing the law to specify that it allows subsidies for coverage purchased through the federal government as well as state exchanges, would mean reopening the debate over the 2010 Affordable Care Act that passed with zero Republican support.

Republicans now control the House and are expected to make gains in the November election, perhaps also gaining a majority in the Senate.

That means Obama and Democrats have no chance of getting Congress to approve needed changes in the law despised by the political right.

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2 comments

  • Linda Homer

    Gotta love a product that is so wonderful that you need subsidies to make it “wonderful” ? So glad that Congress who makes $174,00 yr needs a subsidy too :) – How’s that Hope & Change working?

  • Realist

    This whole bill needs to be repealed. The handouts have got to be seriously cut back and more incentive placed on being a working, taxpaying citizen. I’m in favor of helping people in need but not just giving handouts to able bodied persons with an allergy to work. Memphis used to have many attractions before the demand to use tax money for “helping” citizens became so overwhelming that it took all the funding for entertainment. The whole country can be seen going down this same road if this thought process is not turned around. I’m so sick of the GIMME attitude people have today.

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