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COLLECTION

King v. Burwell

On March 4, 2015, the Supreme Court heard arguments in the King v. Burwell case, a challenge to the Affordable Care Act that could drastically alter the course of the Obama administration’s landmark law. The plaintiff argues that the law prohibits the federal government from providing premium tax credits and cost-sharing reductions to residents of states that did not establish their health insurance marketplaces (also called exchanges); the federal government argues that this is a misreading of the statute. A ruling in favor of King could derail many of the Affordable Care Act’s gains in states where the federal government has played a role in running the new nongroup marketplaces. We have estimated the implications for coverage, premiums, household financial burdens, and medical spending if tax credits and cost-sharing reductions are eliminated in 34 states.

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