This brief provides an overview of four analyses of the implications of a Supreme Court finding for the plaintiffs in King. Burwell. At stake is whether or not the federal government can continue to provide premium tax credits and cost-sharing reductions to residents of states that have not established their own health insurance marketplaces under the Affordable Care Act. In 34 states, such a finding would mean an increase of 8.2 million people uninsured, significantly higher nongroup insurance premiums, health care spending reductions for those becoming uninsured of at least 35 percent, and large amounts of foregone federal funding.

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