Morning Briefing
Summaries of health policy coverage from major news organizations
Supreme Court Case Commentary: Millions Could Lose Coverage; A GOP Plan To Fix Health Care
On Wednesday the Supreme Court will hear the most serious challenge to Obamacare since a single vote at the high court kept the law alive in 2012. As legal challenges go, the latest complaint is bizarre: If the plaintiffs lose, they face little or no harm. If they win, about 8 million people around the USA face substantial injury. (3/1)
In King v. Burwell, four Virginia residents are a challenging an IRS Obamacare rule in the Supreme Court. While the case involves only a handful of plaintiffs, it is really about the millions of Americans who are victims of Obamacare's mandates and penalties. Like the King plaintiffs, millions are harmed by Obamacare's individual mandate, which forces them to either buy insurance that they don't want or to pay a tax penalty. But the IRS rule also has devastating consequences for countless other Americans and their families. (Sam Kazman, 3/1)
Wednesday, the Supreme Court will hear oral arguments about whether the Obama administration used the IRS to deliver health insurance subsidies to Americans in violation of the law. Millions of Americans may lose these subsidies if the court finds that the administration acted illegally. If that occurs, Republicans have a plan to protect Americans harmed by the administration鈥檚 actions. When the court rules in King v. Burwell, we anticipate that it will hold the administration to the laws Congress passed, rather than the laws the administration wishes Congress had passed, and prohibit subsidies in states that opted not to set up their own exchanges, as the language in the law clearly states. Such a ruling could cause 6 million Americans to lose a subsidy they counted on, and for many the resulting insurance premiums would be unaffordable. (Sen. Orrin Hatch, R-Utah; Sen. Lamar Alexander, R- Tenn.; and Sen. John Barasso, R-Wyo.; 3/1)
Next week the U.S. Supreme Court hears oral arguments in one of the term鈥檚 most-watched cases: King v. Burwell, which raises the question whether the Obama administration has been violating the Patient Protection and Affordable Care Act of 2010. That law, popularly known as ObamaCare, authorizes income-tax subsidies for taxpayers who purchase medical insurance policies from an exchange 鈥渆stablished by the State.鈥 A 2012 Internal Revenue Service decree nullified that qualification鈥攊mproperly, the appellants argue鈥攂y interpreting it to include an exchange established by the federal government. In short, unlike 2012鈥檚 big ObamaCare case, National Federation of Independent Business v. Sebelius, King is all about statutory interpretation; it does not challenge the constitutionality of ObamaCare. (James Taranto, 3/27)
It wasn't so long ago that Republicans were viewing the prospect that the Supreme Court might overturn a key provision of the Affordable Care Act with unalloyed glee. The court might "ultimately take it down," Senate Majority Leader Mitch McConnell (R-Ky.) crowed in December. "You could have a mulligan here, a major do-over of the whole thing, that opportunity presented to us by the Supreme Court." We're not hearing that so much these days. (Michael Hiltzik, 2/27)
As with everything else here these days, the talk about the Affordable Care Act case before the Supreme Court next week will focus on ideological splits: Will any conservative justice join the four liberals all but certain to back the administration? In fact, the correct conservative legal position would be to rule for the administration. (Ruth Marcus, 3/1)
Congress knew exactly what it wanted to do when it passed the Affordable Care Act in 2010, and contrary to the plaintiffs鈥 claim, that included wanting subsidies for buying health insurance on the Obamacare exchanges to be available to all citizens, even those residing in the 36 states that did not set up their own exchanges, instead relying on the exchange set up by the federal government. (Steven Brill, 3/2)
Even if you don鈥檛 receive Obamacare subsidies, you could still be harmed by the Supreme Court case that could take them away. A court ruling for the plaintiffs in the case, King v. Burwell, would have wide-reaching effects for the individual insurance markets in around three dozen states. The approximately six million people currently receiving subsidies in those states would be hit hard, of course. But so could the millions who now buy their own insurance without subsidies. The results could be surging prices and reduced choice for health insurance shoppers across the income spectrum. (Margot Sanger-Katz, 2/27)
Tough luck, say the plaintiffs: The harsh consequences of a ruling in their favor should be irrelevant to the justices, whose only job is to interpret the statutory text. In any event, the plaintiffs contend, those harsh consequences are perfectly consistent with what Congress meant the law to accomplish. But the plaintiffs are mistaken. It鈥檚 not irrelevant that a ruling in their favor would inflict such damage. To the contrary, that fact helps us correctly interpret the statute鈥檚 text. Indeed, it shows that the plaintiffs鈥 understanding of that text is wrong. (Nicholas Bagley, 2/2)
The IRS regulation being challenged in King is of a piece with the overall Obama Administration strategy of unilaterally extending executive power. President Obama has not been cute about this, asserting his intent to use his 鈥減en鈥 to push the envelope of executive powers and his 鈥減hone鈥 to announce and secure support for his unilateral initiatives. No sub rosa stealth there. ... King therefore reflects a challenge to what is perhaps the most significant of the Obama Administration鈥檚 executive actions in stretching the ACA. This is what the case is about. (James Blumstein, 2/27)