Full text of the Supreme Court's decision. PDF may be downloaded. #aca #obamacare
June 25, 2015 - In a 6-3 decision, the Supreme Court the U.S. Supreme Court sided today with the Obama administration over its major healthcare overhaul, upholding federal subsidies across the country. The ruling holds that the Affordable Care Act authorized federal tax credits for eligible Americans living not only in states with their own exchanges but also in the 34 states with federal marketplaces. It staved off a major political showdown and a mad scramble in states that would have needed to act to prevent millions from losing health care coverage.
OCTOBER TERM, 2014
NOTE: Where it is feasible, a syllabus (headnote) will be released, as is
being done in connection with this case, at the time the opinion is issued.
The syllabus constitutes no part of the opinion of the Court but has been
prepared by the Reporter of Decisions for the convenience of the reader.
See United States v. Detroit Timber & Lumber Co., 200 U. S. 321, 337.
SUPREME COURT OF THE UNITED STATES
KING ET AL. v. BURWELL, SECRETARY OF HEALTH
AND HUMAN SERVICES, ET AL.
CERTIORARI TO THE UNITED STATES COURT OF APPEALS FOR
THE FOURTH CIRCUIT
No. 14–114. Argued March 4, 2015—Decided June 25, 2015
The Patient Protection and Affordable Care Act grew out of a long his-
tory of failed health insurance reform. In the 1990s, several States
sought to expand access to coverage by imposing a pair of insurance
market regulations—a “guaranteed issue” requirement, which bars
insurers from denying coverage to any person because of his health,
and a “community rating” requirement, which bars insurers from
charging a person higher premiums for the same reason. The re-
forms achieved the goal of expanding access to coverage, but they al-
so encouraged people to wait until they got sick to buy insurance.
The result was an economic “death spiral”: premiums rose, the num-
ber of people buying insurance declined, and insurers left the market
entirely. In 2006, however, Massachusetts discovered a way to make
the guaranteed issue and community rating requirements work—by
requiring individuals to buy insurance and by providing tax credits to
certain individuals to make insurance more affordable. The combi-
nation of these three reforms—insurance market regulations, a cov-
erage mandate, and tax credits—enabled Massachusetts to drastical-
ly reduce its uninsured rate.
The Affordable Care Act adopts a version of the three key reforms
that made the Massachusetts system successful. First, th