Does the Affordable Care Act really mean what it says?
The Supreme Court will be answering that question in King v. Burwell in the coming months. The question, which surfaced in the public awareness with the Gruber videos, emanates from one line in the Affordable Care Act which says that premium tax credits will be paid only to individuals who obtain medical coverage “through an Exchange established by [a] State.”
Turns out, thirty-six states didn’t create their own exchanges. Instead, they used the Federally Facilitated Marketplace, and the federal government made the executive decision to allow them to receive tax credits anyway. However, the language of the law says their residents are ineligible for subsidies, and the ones currently being paid are illegal.
If the Supreme Court sides with King, how would it affect American citizens?
A great deal.
Let’s review just what’s at stake.