Governors: No clear plan if health care subsidies fall
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Source: AP
WASHINGTON (AP) Millions of people could lose health insurance subsidies in the coming months if the Supreme Court sides with opponents of President Barack Obama's health care overhaul.
And one thing was clear this weekend as the nation's governors gathered in Washington: Many of the states that could be affected are not prepared for the potential fallout.
In rounds of interviews at the National Governors Association's winter meeting, several governors indicated they could do little about the estimated 8 million people who could drop coverage if they were to lose health insurance subsidies later this year a scenario that legal experts suggest is a real possibility. While preliminary state-level discussions have begun in some cases, many governors charged that Congress should bear the burden of fixing any problems.
"That responsibility doesn't fall in the hands of the states or the governors, it falls in the hands of the leaders right here in Washington," said Wisconsin Gov. Scott Walker, who is contemplating a run for the Republican presidential nomination in 2016. He's one of the many Republican leaders who resisted efforts to create a state-based health insurance exchange.
FULL story at link.
Nevada Gov. Brian Sandoval, chairman of the Education and Workforce Committee, left, speaks with New Hampshire Gov. Maggie Hassan, vice chair, at the committee's morning session at the National Governors Association Winter Meeting in Washington, Sunday, Feb. 22, 2015. (AP Photo/Cliff Owen)
Read more: http://bigstory.ap.org/article/6bb6b0d306ec4bc69f1e59aac0568b26/governors-no-clear-plan-if-health-care-subsidies-fall
Mr.Bill
(24,375 posts)The plan involves a lot of laughter and high-fives.
Iliyah
(25,111 posts)especially the GOPs. Walker has no heart nor soul.
quadrature
(2,049 posts)and rubbing their noses in it?
cheapdate
(3,811 posts)the IRS authority to grant subsidies to citizens in states that didn't set up exchanges.
The provision in the ACA is crystal clear on the matter. This is not a court that is willing to grant leeway for "congressional intent." They're constructionist assholes.
Hope I'm wrong.
cstanleytech
(26,361 posts)federal government in giving them?
quadrature
(2,049 posts)subsidies go thru a state exchange,
some states don't have
an exchange
cstanleytech
(26,361 posts)the law doesnt say the federal government cannot dole it out via other methods does it?
quadrature
(2,049 posts)cstanleytech
(26,361 posts)who are causing the problem (or I should say certain politicians in them are doing it purely for political reasons) therefore a federal agency found a creative solution to distribute the money to the proper people.
jwirr
(39,215 posts)Medicaid? If that is the case then Walker and his buddies will most certainly get the blame for the suffering they have and will cause in their states.
How does this effect the other states?
quadrature
(2,049 posts)rurallib
(62,483 posts)if SCOTUS rules against the ACA. They will say Obama should have had a backup plan.
If they do so I expect it to backfire big time!
SoapBox
(18,791 posts)sadoldgirl
(3,431 posts)but when Boehner was asked recently what the plan
by the Repugs were in case the decision will go against
Obamacare, he said that they were thinking about it.
Yes,after over 50 efforts to destroy it, they are still
thinking about it!
Spacemom
(2,561 posts)If people can no longer afford coverage, will they still have to pay the penalty?
lancer78
(1,495 posts)I make so little that I am exempt from the mandate. I live in a state that did not expand Medicaid (Tennessee) and make less then 133% of the poverty level, hence no mandate.
happyslug
(14,779 posts)See my comment below, i.e. the Mandate is still the law, what goes are the subsidies provided in the act but ONLY in those states without State Exchanges. The Penalties also survive the court ruling, and any insurance obtained through the Federal Exchanges, even if the same insurance obtainable in a state exchange, does NOT off set the Penalties. i.e if you OBTAINED insurance through a Federal Exchange, you still have to pay the Penalty (But if you are in a State with a State Exchange, you do NOT have to pay the Penalty).
happyslug
(14,779 posts)Last edited Mon Feb 23, 2015, 12:30 AM - Edit history (1)
Remember the States with Democratic Legislatures and Democratic Governors set up State Exchanges like the Law provides for. Thus those are CLEARLY LEGAL and NOT SUBJECT TO CONSTITUTIONAL OR LEGAL CHALLENGE.
The problem for the GOP are those states where such State Exchanges were NOT set up. In those states, if the Court rules that the Federal Exchanges are NOT authorized under the Affordable Care Act (ACA), then all of those people who obtained insurance through such exchanges will lose that coverage. Union members whose EMPLOYERS provide insurance will NOT lose their insurance nor will any other private employer that provides such medical coverage, but those people WITHOUT such employer supplied coverage will lose what insurance coverage they have.
Thus NO group that tends to vote Democratic will be affected by a Ruling by the Court that what the Administration did was AGAINST the law.
Remember this challenge is NOT constitutional but legal, i.e. based on the wording of the Affordable Care Act (ACA). Did the Administration ILLEGALLY set up Federal Exchanges in those states that refused to set up State Exchanges? IF the answer to that is YES, the Federal Exchanges are ILLEGAL and any coverage obtained through those exchanges are also illegal.
Thus a whole lot of people are going to lose Insurance Coverage they think they have and ONLY in GOP controlled States. When that hits, the Democrats can just sit of the sidelines and laugh.
http://www.whitehouse.gov/healthreform/map
The States as of October 2014:
http://middlingamerica.blogspot.com/
The Docket of this Case in the US Supreme Court:
http://www.scotusblog.com/case-files/cases/king-v-burwell/
The Ruling being appealed:
http://caselaw.findlaw.com/us-4th-circuit/1673339.html
Rejecting all of the plaintiffs' arguments as to why Chevron deference is inappropriate in this case, for the reasons explained above we are satisfied that the IRS Rule is a permissible construction of the statutory language. We must therefore apply Chevron deference and uphold the IRS Rule.6
Accordingly, the judgment of the district court is affirmed.
AFFIRMED
- See more at: http://caselaw.findlaw.com/us-4th-circuit/1673339.html#sthash.v6YJe58z.dpuf
Brief of the side that whats the US Supreme Court to strike down the Federal Exchanges:
https://cei.org/sites/default/files/KING%20v%20BURWELL%20-%20No.%2014-114%20-%20Petitioners%20Opening%20Brief%20of%20the%20Merits%20-%20December%2022%202014.pdf
Brief in support for those Federal Exchanges:
http://sblog.s3.amazonaws.com/wp-content/uploads/2015/01/14-114-Respondents-Brief.pdf
The problem the GOP is facing is summed up in the GOP supported people who want the Federal Exchanges to be struck down:
i.e The Federal Credit on your taxes for having Health Insurance is NOT available to those people who obtained such coverage in a Federal Exchange, but are available to those people who obtained coverage in those states that DID set up States Exchanges.
Think about that. No Tax Credit for Insurance obtained in a State that does NOT have a State Exchange, but tax credit in those states that do.
The key sentence is as follows:
Thus the issue is NOT that the ACA is unconstitutional, but that since CONGRESS did not set up a system for those states that did not set up an exchange, the Federal subsidies are NOT permitted in those states. i.e the Penalties imposed by the ACA do apply, but any insurance coverage obtained through the Federal Exchanges do NOT meet the requirement to get those subsidies AND avoid those Penalties, but they do apply in those states that did set up Exchanges.
If you are a GOP Governor, do you want to go to your GOP legislature and tell them, that they "won" their case and the people of their state are STILL liable for the Penalties imposed by the ACA, but any insurance the people of that state obtain do NOT comply with the ACA do to the ACTION OF THE STATE. i.e The people of that State MUST pay the Penalties and NOT get the Subsidies even if they obtained Health Insurance do to the Action of the STATE controlled by the GOP?
It does NOT take long to see how much of a mess this will be. How will the GOP controlled House and Senate address those GOP controlled State where this will occur?
That is why the GOP governors are worried about this decision, it is almost a doom days device for them. How do you spin loss of Health Insurance, no subsidies and the imposition of Penalties imposed by the ACA (And upheld as TAXES in the prior Supreme Court Decision)?
AS I said above, I be tempted to concede the case and see what these GOP Governors and the GOP controlled Federal House and Senate do about this. If I was the GOP, I will see this as a no win situation and pass a law making it clear that the Federal Exchanges part of the ACA, but that means accepting the ACA as something legitimate. GOP dogma that the ACA is bad, is running into the brick wall that Congress can IMPOSE taxes and the subsidies and Penalties are part of HOW Congress sets up Taxes. Thus those subsidies and Penalties can NOT be challenged (and if it is challenged the prior ruling made it clear this is all TAXES not anything else) is the DOWN SIDE of this case for the GOP. The Court can rule the Federal Exchanges do NOT meet the requirements for those subsidies and Penalties but that is all. The imposition of taxes is something reserved to CONGRESS and that includes imposition of subsidies and penalties that involve Taxes.
brentspeak
(18,290 posts)And Republican refusal to expand Medicaid and provide state exchanges didn't at all prevent Republicans from winning election/reelection last November.
SCOTUS overturning the subsidies isn't going to touch the GOP at all.
happyslug
(14,779 posts)If the court rules the Federal Exchanges are NOT permitted under the ACA, that says any insurance obtained through such an exchange does NOT the requirements of the ACA and thus does NOT relieve the buyer of such insurance from the Penalties imposed by the ACA AND does not permit such person to obtain any of the subsidies provided under the ACA.
This ONLY occurs in states without a State Exchange, in those States with STATE EXCHANGES such insurance DOES meet ACA requirements and thus such insurance permits such a person to get any Subsidy provided under the ACA and avoid the penalties imposed by the ACA
Given that the states under Democratic Control all have State Exchanges, no one in such states will face a tax increase in the form of having to pay the penalties imposed by the ACA. On the other hand, those States under GOP Control will see anyone in their state who obtain insurance through the Federal Exchange, having to pay the Penalties imposed by the ACA for NOT having that insurance AND not be eligible to use the subsidies provided for people to obtain insurance.
The penalties are hitting right now in the form of people filling out their IRS tax returns. Worse, if the court rules against such exchanges, those people who do used such exchanges will be told by the IRS later this year that they made an ERROR on their IRS returns, in that they took the Subsidies AND they did not pay the Penalty for NOT obtaining health insurance through a STATE EXCHANGE. That the State they live in did NOT have a State Exchange is unimportant if the Court Rules that the Federal Exchanges do NOT meet the requirements for such an exchange in the ACA itself.
Thus a lot of people who voted for the GOP will be getting Tax notices that they have to pay more taxes, but only in those states that did not set up States Exchanges.
The GOP will try to blame the Democrats, but the Democrats have a short answer, look at those states with Democratic Government, no one on those states has to pay those penalties, so do not blame us, it is your local GOP that decided it was better for you to pay these penalties then have health insurance.
The state GOP have shot themselves in the foot on this issue. If the Court rules against the Federal Exchanges, the GOP has to do something or get the blame for increase taxes on people. How can you spin such a tax increase, but only in GOP controlled states, when the cause of that tax increase was the refusal of the state GOP controlled legislature to adopt a state exchange? Please remember a lot of states with NO state exchange has seen a huge increase in people covered by insurance, that they obtained through the Federal Exchange but to be paid through via the ACA subsidies. Also remember the court is being asked to rule that the Federal Exchanges do NOT meet the requirements of the ACA, so all of the penalties imposed by the ACA applies to those people who did not AND DID obtain such insurance through the Federal Exchange (The later is the people who will complain).
The governors are seeing this as part of a Democratic Platform to unseat them and their legislature and it will be an effective platform for the Democrats only has to say "Lets be like Kentucky and have health insurance AND eliminate these penalties." The GOP is worried, it is a bad situation for them, one that will be hard to spin to blame the Democratic party for.
McCamy Taylor
(19,240 posts)They need to stop being whiny babies. This is their own fault. They thought they could have their cake and eat it too.
one_voice
(20,043 posts)it's not breaking news. Thanks.