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Tuesday, Jun 23 2015

Full Issue

Much-Anticipated Court Decision Could Shape Obama's Legacy, Alter Health Law's Impact

As the clock ticks down on the time remaining in this Supreme Court session, the justices still have rulings coming in a number of high-profile cases -- including King v. Burwell.

The night his administration鈥檚 Affordable Care Act passed in 2010, President Obama described the victory the way he hopes historians will: as a 鈥渟tone firmly laid in the foundation of the American dream.鈥 But Mr. Obama鈥檚 prospects for a legacy of expanding health care coverage in the United States for generations have never seemed as uncertain as they do today. The Supreme Court is expected to rule by the end of the month on a critical provision of the Affordable Care Act 鈥 insurance subsidies for millions of Americans 鈥 and even Mr. Obama鈥檚 closest allies say that a decision to invalidate the subsidies would mean years of logistical and political chaos. (Shear, 6/23)

The Supreme Court is expected to issue a ruling in the next week that could have serious consequences for millions of people who have received subsidized health coverage through the president鈥檚 health care law. The high-stakes case of King v. Burwell centers on whether language in the Affordable Care Act provides health care subsidies to people who signed up for coverage on the federal exchange, HealthCare.gov. (Ehley, 6/22)

The case the justices are mulling, King v. Burwell, poses a legal challenge to the tax credits offered to consumers in 34 states who bought health insurance through the Affordable Care Act's (ACA) federally run exchanges. About 6 million people in those states who used the government program to buy insurance could lose their subsidies if the High Court agrees that the law's wording -- "established by the state" -- limits federal assistance only to those states running their own exchanges. For opponents to Obamacare, meanwhile, the ruling likely represents the final chance to challenge the 2010 law. (Picchi, 6/23)

If U.S. states had a Facebook setting for Obamacare status, it would say: "It's complicated." This month, that might change to: "It's very, very complicated." The catalyst would be a Supreme Court ruling that could鈥攆or the second time in less than two years鈥攃ause a dramatic shift in the differences between states in their uninsured rates and in the financial burden on hospitals and other medical providers from caring for the uninsured. (Mangan, 6/22)

The Supreme Court sure knows how to put an eager audience on edge. ... As in prior years, it looks like the court is saving the best for last. Cases still outstanding include those dealing with the legality of Obama administration health insurance subsidies under the Affordable Care Act, same-sex marriage and EPA regulations on power plant emissions. ... Seven cases remain in total, and the court is scheduled to decide them no later than next week. ... Court watchers are also speculating on which justice may be writing the majority opinion in the blockbuster health-care case on the legality of insurance subsidies received by more than 6 million Americans. Three justices representing a range of ideological leanings haven鈥檛 written opinions from the session in which the health-care case was considered: Chief Justice Roberts, Justice Anthony Kennedy and Justice Ruth Bader Ginsburg. (Kendall, 6/22)

Another much-anticipated decision will be whether the Obama administration may continue to subsidize health insurance for low- and middle-income people who buy coverage in the 36 states that failed to establish an official insurance exchange of their own and instead use a federally run version. If the court rules against the Obama administration, about 8.6 million people could lose their subsidies under the Affordable Care Act. In all, the court will hand down more than two dozen decisions on matters invovling politics, civil rights, free speech and air pollution. Several of these cases have been pending for months, suggesting the justices have been sharply split. (Savage, 6/22)

The right of same-sex couples to marry and the ability of low- and middle-income Americans to receive subsidies to help them afford insurance under the health care overhaul are the two biggest cases among the seven still to be decided by the Supreme Court. The justices will meet again Thursday to hand down more opinions and almost always finish their work by the end of June. (6/22)

The U.S. Supreme Court on Monday did not issue rulings in its two most closely watched cases -- gay marriage and a challenge to President Barack Obama's healthcare law -- and the justices will next release decisions on Thursday. With the rulings due by the end of the month, the court also scheduled sessions on Friday and next Monday to issue decisions. (6/23)

This is part of the Morning Briefing, a summary of health policy coverage from major news organizations. Sign up for an email subscription.
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