SCOTUS Considerations

U.S. Supreme Court Considerations

The United States Supreme Court will be ruling on the King v. Burwell case as early as June of 2015.  The ruling in this case has the potential to remove key provisions of the PPACA.

What is King v Burwell?

Plaintiff asserts that healthcare premium subsidies in Section 1410 only reference Section 1311 (State Exchanges) not Section 1321 (Federal and Partnership Exchanges)

What happens if SCOTUS decided in favor of plaintiff?

Without subsidies, ALL enrollees will be subject to market rates

If premiums exceed 8% of household income, mandate does not apply

No mandate, no IRS penalties

No IRS penalties, no enforcement

Employers and individuals will be able to shop for plans on the open market free from federal government qualified health plan mandates

 

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