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Posts Tagged ‘subsidy’
April 22nd, 2015 at 5:57 pm
What Will Republicans Do If Supreme Court Strikes Down ObamaCare Subsidies?

Sometime in June, the U.S. Supreme Court is expected to publish its opinion deciding whether the Obama administration acted outside the law in extending federal subsidies to citizens in states without a local ObamaCare exchange.

If the Court’s ruling adheres to the rule of law, the subsidies will be disallowed. Predictably, this is making some Republicans nervous that Americans getting the ObamaCare the Democrats passed will blame the GOP.

And so, there are a growing number of proposals to overrule the Court, at least until 2017 when (hopefully) a Republican president will be in office.

The latest plan in this line of thinking was unveiled Tuesday by U.S. Senator Ron Johnson (R-WI). “Johnson’s plan would allow people to keep their ObamaCare plans and their subsidies until August 2017,” reports The Hill. “The bill would also repeal ObamaCare’s mandates for individuals and employers to provide insurance…”

Of the proposals currently available, Johnson’s is the only one that makes no change to ObamaCare as it currently is. All it does is ensure the program lasts until about eight months into the next president’s first year in office.

The question is: What’s the point? If Johnson’s bill were to become law, it would put large numbers of Republicans on record as saying that despite the plain meaning of the statute, ObamaCare’s subsidy scheme is simply too important to be governed by normal legal rules. If that’s true, then why not make things easier and introduce a bill that just amends the disputed section and grant subsidies to everyone?

If Senator Johnson and other Republicans are fearful of voter backlash, then he and others should propose specific policy alternatives. Overruling the Supreme Court for making the correct legal decision is not justified by political calculations of what might happen at the ballot box.

Voters deserve statesmen, not politicians that hedge their bets. If Senator Johnson wants to be reelected next year, he needs to earn the privilege by either embracing ObamaCare for the long-term or putting forward a specific alternative.

April 10th, 2015 at 2:57 pm
Beware ObamaCare as Tax Day Approaches

Nearly every American that received an ObamaCare subsidy to help pay for health insurance last year got the wrong amount.

“Only 4 percent of the people who signed up for ObamaCare got the correct subsidy, so a whopping 96 percent will see their tax bill adjusted, some up and others down,” writes Betsy McCaughey. “Who would design a system that’s right only 4 percent of the time?”

The main reason for the discrepancy is that a person must estimate – i.e. guess – their entire taxable income for the next year in order to find out how much of a subsidy they qualify for under ObamaCare during enrollment season. A raise or switch to a higher paying job could be zeroed out because the government gets to “clawback” the difference. Losing a job means a fatter refund.

You can see which direction ObamaCare’s incentives point to, which provides a partial answer to McCaughey’s rhetorical question – people who penalize moving up the income ladder.

April 2nd, 2015 at 5:58 pm
ObamaCare’s Subsidy “Clawback” Feature Explained

Daniel Payne at The Federalist has a must-read article explaining the perverse and punitive feature of ObamaCare that allows the federal government to “clawback” subsidy amounts from eligible recipients.

“If you’re flat broke at the beginning of the year and accept tax credits from ObamaCare for several months, then find a high-paying job with health insurance halfway through the year and make enough money to put yourself over the subsidy threshold, you’ll owe back every penny of those subsidies you received come tax season, even though you had no money when you received them,” writes Payne.

ObamaCare’s critics have warned that the law would discourage people from getting better paying jobs for fear of losing their health insurance subsidy. In practice, it looks like the penalty on work could be even worse.

March 10th, 2015 at 5:33 pm
Lessons from Britain in Repealing ObamaCare

Daniel Hannan, a British conservative serving in the European Parliament, warns Americans about the danger of propping up ObamaCare long enough for it to get entrenched in everyday life.

“ObamaCare isn’t a precise copy of the British health system. But there is one parallel on which its exponents are relying, namely the conflation of their healthcare model with the people who work in it,” writes Hannan. “The chairman of the body in charge of overseeing care quality in Britain recently put his finger on the problem: ‘The NHS became too powerful to criticize. When things were going wrong, people didn’t say anything. If you criticized the NHS – the attitude was how dare you?’”

Something similar seems to be happening now. Some states are getting ready to install ObamaCare exchanges if the Supreme Court strikes down the IRS subsidies as unlawfully distributed to people using the federal Healthcare.gov website.

Others are suggesting the creation of an “off-ramp” from ObamaCare that would keep the subsidies flowing until the 2016 presidential election, but would also extend the health law’s life span.

These kinds of half-measures do nothing to help move health reform in a more sustainable, market-oriented direction. All they do is put a bipartisan face on ObamaCare, albeit in an altered form.

Part of what makes repealing ObamaCare a realistic option is the steadfast resistance from state and federal Republicans in implementing it. If even a significant minority of GOP leaders start to go along with saving ObamaCare – in whatever form – then the United States runs the risk that Hannan in Britain knows all too well.

Socialized medicine will be here to stay.

February 26th, 2015 at 8:23 pm
Treasury Dept. Approves $3 Billion Transfer to Insurance Companies that Congress Denied

A letter from House Ways and Means Chairman Paul Ryan (R-WI) demands an explanation from the Treasury Department on why it allowed $3 billion in payments to ObamaCare insurance companies that Congress never approved.

In a well-documented piece, Philip Klein gives a disturbing summary of the Obama administration deliberately refusing to follow the law.

“At issue are payments to insurers known as cost-sharing subsidies,” writes Klein. “These payments come about because President Obama’s healthcare law forces insurers to limit out-of-pocket costs for certain low income individuals by capping consumer expenses, such as deductibles and co-payments, in insurance plans. In exchange for capping these charges, insurers are supposed to receive compensation.”

Here’s the rub.

“What’s tricky is that Congress never authorized any money to make such payments to insurers in its annual appropriations, but the Department of Health and Human Services, with the cooperation of the U.S. Treasury, made them anyway,” says Klein.

As proof, Klein cites a $4 billion funding request for the cost-sharing subsidies program in 2014 that was not fulfilled by Congress. It’s now 2015, the bills are coming due, and the Obama administration effectively said, “Never mind.”

Whether the domain is immigration or ObamaCare, the default setting for this administration seems to be that if it can’t get what it wants the legal way, it’s just as good to go around the law.

February 17th, 2015 at 7:58 pm
California ObamaCare Exchange Sends Out Nearly 100,000 Error-Laden Tax Forms

The CBS affiliate in San Francisco is reporting on a massive failure by the state’s ObamaCare exchange to correctly reconcile information on customers with health insurance providers.

“About 100,000 or 12 percent of the forms generated by Covered California have inaccuracies,” says the report. The forms are needed by California ObamaCare users to claim tax refunds and verify subsidy amounts with the IRS.

A spokesperson for Covered California said the inaccuracies are due in large part to discrepancies between the state’s records and what the insurance companies have. Despite this, the exchange sent out the forms anyway to beat the February 2 deadline.

Corrected forms are scheduled to go out later this month, but it’s unclear whether all of the 100,000 or so recipients of the inaccurate forms know they are bad. If not, they could be submitting false information to the IRS, an issue that could cause considerable problems down the road.

Expect this to add to the ire already forming ahead of Tax Day.

February 17th, 2015 at 12:53 pm
Congressional Democrats Want to Delay ObamaCare Penalties

It looks like having the courage of one’s convictions about the imperative of ObamaCare doesn’t include making good on the Democrats’ promise to “pay-as-you-go.”

Once upon a time when Rep. Nancy Pelosi (D-CA) was Speaker of the House, Democrats in Congress made a lot of noise about PAYGO, the fiscal policy that essentially requires new spending to be paid for with spending cuts, tax increases, or some combination of the two.

But now that ObamaCare’s IRS-imposed penalties are coming due, those same Democrats are singing a different tune.

“Three senior House members told the Associated Press that they plan to strongly urge the administration to grant a special sign-up opportunity for uninsured taxpayers who will be facing fines under the law for the first time this year,” the AP reports.

Interestingly, the three House members – Michigan’s Sander Levin, Washington’s Jim McDermott and Texas’ Lloyd Dogget – “[a]ll worked to help steer Obama’s law through rancorous congressional debates from 2009-2010.”

And now that the price of non-compliance with ObamaCare’s tax-raising mandates is becoming obvious, all three want to avoid a predictable constituent backlash.

Sorry fellas, if spending at least $684 million annually to educate the public about ObamaCare isn’t enough to adequately inoculate against angry voters, perhaps there’s a fatal flaw in the law.

At any rate, it’s time the American public got the version of health reform you voted for.

February 13th, 2015 at 6:05 pm
The ObamaCare Tax Even Democrats Want to Repeal

Nice things cost money, and so too does so-called affordable health insurance.

“More than one-third of all House members have signed onto legislation that would repeal ObamaCare’s tax on insurance companies, which even some Democrats agree is leading to high insurance costs for millions of American families,” reports The Blaze.

People familiar with the logic of doing business understand that private firms don’t pay taxes, people do. So when ObamaCare imposes a tax on health insurance providers, that amount gets passed on to consumers as higher premiums.

With ObamaCare’s second enrollment cycle about to end, many people are experiencing this economic rule up-close-and-personal.

“I hear every day from individuals, families, and businesses in Arizona about the cost of health care,” Rep. Kyrsten Sinema (D-AZ) is quoted as saying. “This common sense fix [i.e. repeal] will help lower out of pocket costs for hardworking Arizonans. By working together, we can provide relief for individuals, families, and employers while increasing access to quality affordable health care.”

That’s highly unlikely because ObamaCare’s regulations increase the cost of providing health care, and its complex web of subsidies is designed to hide some of that increase. Repealing a source for subsidies without also repealing the regulations that make them necessary leaves the elevated cost without a means to pay for it.

Still, it’s good to see at least some Democrats in Congress supporting the repeal of at least some part of ObamaCare. Remove enough supports, and eventually the whole architecture crumbles.

February 12th, 2015 at 6:36 pm
GOP Senators: Obama Admin Officials “Evading” Whether Backup Plan Exists If Supremes Strike Down Subsidies

Does the Obama administration have a backup plan if the Supreme Court interprets ObamaCare according to its terms and prohibits federal subsidies to Americans in 36 states?

If so, top administrators at Health and Human Services, the Internal Revenue Service and Treasury aren’t sharing.

That lack of transparency – and the havoc it could wreck on millions of mandatory ObamaCare users – angers a group of powerful Senate Republicans.

“I want to make certain that the government has notified people who have signed up through the HHS insurance exchange – including the thousands of Georgians who were forced to enroll after ObamaCare cancelled their health plans – of the potential consequences of the Court ruling against the government, especially given the fact that the cost of the program could be significantly increased,” Senator Johnny Isakson (R-GA) said in a statement.

“The Obama administration needs to be forthcoming about its backup plans so my constituents can make their own backup plans.”

Isakson and other Republicans serving on the Senate Finance Committee sent a strongly worded letter to several government agencies demanding details of any contingency plans. In it they charge HHS Secretary Sylvia Mathews Burwell, Treasury Secretary Jacob Lew, and IRS Commissioner John Koskinen with “lack of candor” and “evad[ing] the issue when it was raised at hearings before the Committee this week.”

Consider this another unfulfilled promise of “the most transparent administration in history.

February 11th, 2015 at 7:55 pm
Big Insurance Lines Up Behind ObamaCare

If you can’t beat ‘em, join ‘em, and then fight like hell to save them.

That’s essentially the health insurance industry’s strategy when it comes to ObamaCare.

Unable to derail the Democrats’ health reform train in 2009 and 2010, most of the biggest players in the health insurance industry agreed to make peace with the Obama administration.

For their troubles the insurance companies won policy concessions like the individual mandate to ensure a captive market for their products, and a complicated bailout scheme to subsidize losses.

Then along came King v. Burwell, one of the cases challenging the legality of federal subsidies necessary to make ObamaCare plans affordable. (Necessary, but not, according to ObamaCare’s text, permitted in states that rely on the federal government’s insurance portal.)

The Supreme Court is set to hear oral arguments this spring, and many entities have submitted amicus or friend-of-the-court briefs to persuade the justices their way.

“Among those filing amicus briefs defending health reform are HCA, the American Hospital Association, America’s Health Insurance Plans, the National Alliance of State Health Co-ops, the Catholic Health Association of the United States, the American Cancer Society, and the National Association of Community Health Centers,” reports Bloomberg Business. “The insurance and medical industries share the administration’s goal of seeing millions more people covered because that translates into millions more customers seeking the services of carriers, hospitals, and doctors.”

If given a choice, many established businesses would prefer a guaranteed arrangement with the government rather than rely exclusively on the volatility of the market. It’s easy to see why. But discomfort to the health insurance industry should not trump the rule of law. If the IRS can rewrite ObamaCare to make money available where it has been prohibited, then perhaps another agency hence can also decide to cancel spending that is legally required.

No businessman wants to be on the wrong side of a one-way contract. Yet that’s precisely what will happen if the federal bureaucracy gets to change the terms of ObamaCare whenever it sees fit.

February 6th, 2015 at 4:43 pm
Avik Roy Weighs In on the GOP’s Patient CARE Act

Avik Roy, a conservative health policy expert, penned a very helpful primer on the latest GOP ObamaCare alternative.

The plan – the Patient CARE Act – is an updated version of similar reform concepts presented last year by three leading Republican members of Congress.

Along with other intriguing ideas, the Patient CARE Act replaces ObamaCare’s restrictive subsidy system – i.e. the money can only be spent on federally-approved insurance plans – with “a means-tested tax credit that individuals could use to buy a far broader range of insurance products, or deposit the funds in a health savings account.”

As a tremendous service to readers, Roy also summarizes how the Patient CARE Act compares to other conservative health reform alternatives: his Transcending ObamaCare and one championed by the 2017 Project. All three are serious proposals and deserve attention.

More on these and other ObamaCare alternatives as they develop…

February 4th, 2015 at 1:11 pm
IRS Delays Enforcement of ObamaCare “Clawback”

Ladies and gentlemen, please welcome another politically-motivated ObamaCare delay to the stage!

Megan McArdle sums up the IRS’ decision to let those who received too much in ObamaCare subsidies last year get extra time to pay back the difference (called the law’s “clawback” provision).

“It’s not relieving you of the obligation to repay; it’s just saying that you won’t be liable for a penalty if you don’t repay by the deadline,” explains McArdle. “Interest will continue to accrue, but the interest rates that the IRS charges are actually pretty reasonable (and probably much better than what your credit card company charges). It’s the failure-to-pay penalties it layers on top – half a percentage point a month, with even stiffer penalties for failing to file – that really make your tax bill add up fast.”

That is, if the Obama IRS ever gets around to enforcing the parts of laws it doesn’t like. McArdle writes, “The IRS emphasizes that this is a one-time deal, just for 2014. But I’m not sure if you should believe it. This emphasizes one of the problems we’ve spoken about a lot in this space: The political will to impose the costs of the Affordable Care Act is a lot less strong than the will to distribute the benefits.”

The Republican establishment was once derided as the tax collector for the welfare state. If Obama and the Democratic Party can’t be bothered to administer both the costs and the benefits of their so-called health reform law, the GOP shouldn’t shoulder the burden of balancing its books.

Every politically-motivated delay in enforcing an aspect of ObamaCare is a tacit admission by its supporters that the law is unworkable in practice. Republicans should acknowledge the obvious and start afresh.

February 2nd, 2015 at 8:03 pm
White House Considering More ObamaCare Exemptions

Here’s everything you need to know about the corrupting tendencies of the modern administrative state.

When the ruling elite’s social engineering policies threaten to weaken its grip on power, the law can be bent in any way that pleases them.

Exhibit A is a news article from the New York Times, which begins, “Obama administration officials and other supporters of the Affordable Care Act say they worry that the tax-filing season will generate new anger as uninsured consumers learn that they must pay tax penalties and as many people struggle with complex forms needed to justify tax credits they received in 2014 to pay for health insurance.”

The solution: “The White House has already granted some exemptions and is considering more to avoid a political firestorm.”

You read that correctly. If lots of people will be angry because ObamaCare is slated to work as designed – by ensuring that the people who received insurance subsidies actually qualified for them – it’s completely permissible to just exempt them from compliance.

This is interest group politics run amuck.

It’s been said before, but it’s worth repeating. If Mitt Romney had said during the 2012 presidential campaign that all he needed to repeal ObamaCare was to be elected so he could not enforce the law, the Left would have been up in arms swearing to sue him in court for dereliction of duty. When Barack Obama does the same thing it’s suddenly accepted as executive discretion.

One day liberals may see a conservative reap a policy windfall thanks to Obama’s careless actions. If this is the way it’s going to be in the future, don’t be surprised to see presidents of every partisan stripe erode the rule of law by carving out exemptions for their political base. Today it’s the working poor. Tomorrow it might be trust fund kids who see their capital gains taxes go uncollected.

And then, we’ll be Greece.

January 28th, 2015 at 5:16 pm
Striking Down ObamaCare Subsidies in Some States Would End Individual, Employer Mandates

There are many ways to skin a cat, the saying goes, and there may be more than one way to frame the Supreme Court striking down the IRS’ lawless extension of ObamaCare subsidies to an estimated 5 to 6 million Americans.

If the Court invalidates the subsidies for people living in states without a state-run ObamaCare exchange – as a plain reading of the law requires – then the consequences will have a ripple effect.

“For instance,” columnist Philip Klein explains, “ObamaCare’s fines against employers that do not offer health insurance coverage are triggered when a worker claims government subsidies to purchase insurance on an exchange – but in states where workers can no longer legally receive those subsidies, then there are no fines. The employer mandate, thus, is effectively dead in those states.”

There’s more.

“Additionally,” says Klein, “the individual mandate exempts those who can’t find health insurance options for less than 8 percent of their income – thus, if the subsidies are eliminated, more people will be able to claim this exemption.”

In other words, if a lack of ObamaCare subsidies make individual health insurance unaffordable, then the individual and employer mandates are null and void.

An ObamaCare without mandates weakens the law substantially, and makes it far more likely for Republicans to change. If the Supreme Court delivers a decision that brings it about, the GOP should be in a good position to enact a more workable alternative.

January 27th, 2015 at 6:41 pm
GOP Congress Working on ObamaCare Alternative If Subsidies Struck Down

Republicans on both sides of Capitol Hill are busy strategizing for ways to minimize the political fallout if the Supreme Court invalidates health insurance subsidies for millions of people currently receiving them under ObamaCare.

The case, King v. Burwell, challenges the IRS’ decision to make insurance premium subsidies available to citizens of 34 states that do not have a state-run ObamaCare exchange. The policy is in direct conflict with ObamaCare’s text, providing the justices with a clear opportunity to hold the Obama administration to the letter of the law.

The Hill is reporting that Republican members of the House and Senate are discussing ways to be ready when and if an estimated 5 to 6 million Americans suddenly can’t afford to purchase mandated health insurance.

So far, no details have emerged regarding specifics. There is a lot to consider since any change in the law will require President Barack Obama’s signature. A complicating factor may be this president’s willingness to let the media portray Republicans and the Court as heartless conservatives, even though all that’s being asked for is the Obama administration to implement its own law as written.

Nothing new here.

On the flip side, it’s encouraging to hear that Republicans in Congress are trying to get in front of a potentially damaging issue by coalescing around an alternative they can sell to the public.

Hopefully this is the start of a welcome trend.

January 22nd, 2015 at 8:50 pm
Doctor Pay Raise Increases Medicaid Access

Think rationing health care spending has an effect of which patients doctors see?

A new study released by the New England Journal of Medicine found that Medicaid beneficiaries enjoyed a 7.7 percent bump in the number of appointments doctors scheduled with them when government reimbursement rates increased.

Unfortunately for the poor who use Medicaid, once ObamaCare’s temporary subsidy phased out, states didn’t have the extra money to continue the higher reimbursements to doctors.

And so, it’s likely that doctors will respond to the new (lower) price signal and cut back on the number of Medicaid patients they schedule.

From a policy perspective this study confirms that doctors respond to economic incentives, and that if we as a society are going to help the poorest of the poor get adequate health care Congress and the president need to start prioritizing federal spending so that there’s more money available to help those who need it.

If the folks in Washington, D.C. are looking for a place to start trimming, former U.S. Senator Tom Coburn’s (R-OK) “Wastebook 2014” is a good place to start.

December 9th, 2014 at 1:31 pm
Gruber Gets Gored

Even though Jonathan Gruber did his best to apologize for his incredibly damaging – and seemingly accurate – remarks about how and why ObamaCare was drafted, there was no place to hide from the bipartisan rebuke he received today from the House Committee on Government Oversight and Reform.

Gruber is the now infamous MIT professor and erstwhile “architect” of Democrats’ signature health reform law that called American voters “stupid” for not understanding basic economics and the deceptive policies embedded in ObamaCare.

Gruber’s comments have incensed Republicans, but they’ve also infuriated Democrats. Of all the anger directed at Gruber today, perhaps none was more forceful than that erupting from Rep. Elijah Cummings of Maryland, the ranking Democrat on the committee.

“As far as I can tell, we are here today to beat up on Jonathan Gruber for stupid – I mean absolutely stupid – comments he made over the last few years,” Cummings said. “Let me be clear, I am extremely frustrated with Dr. Gruber’s statements” because “They were irresponsibly, incredibly disrespectful, and did not reflect reality. And they were indeed insulting.”

We’ll see if any of this theater persuades the Supreme Court. Next spring the justices consider whether a section of ObamaCare should be interpreted, as written, to deny subsidies to citizens in 37 states that use the federal health insurance exchange. It’s an interpretation that Democrats oppose, but Gruber in at least one viral video adamantly confirms.

It’s been said that a political gaffe occurs when someone says the truth in public. Regarding ObamaCare’s deceptive elements, that may be Jonathan Gruber’s greatest offense.

December 8th, 2014 at 6:22 pm
ObamaCare’s ‘Stupid Voter’ Architect to Testify at GOP Hearing

On Tuesday this week Jonathan Gruber, the MIT economist and ObamaCare architect made infamous by a series of viral videos confirming suspicions of deceptive lawmaking, will appear before the House Government Oversight and Reform Committee.

It won’t be a pleasant meeting for Gruber.

Committee chairman Darrell Issa (R-CA) has titled the hearing, “Examining ObamaCare Transparency Failures.”

The biggest issue will be whether Issa and his fellow Republicans can get Gruber to confirm his previous statement that ObamaCare only grants insurance subsidies to people in states that operate their own health exchange. That’s the central issue in the case going before the Supreme Court next spring, and if the justices accept it, much of ObamaCare could be gutted.

Liberals are already trying to get ahead of any Gruber confessions under oath that could undermine their landmark domestic policy.

In a long-read piece at Politico, a former Democratic staffer tries to minimize the impact of Gruber’s comments by first saying he wasn’t involved in the policymaking process. That’s a fair point.

But then the staffer seems to completely confirm Gruber’s main argument – that the disputed statutory language was deliberately concocted to confuse people who weren’t in on the backroom political calculations.

The Politico reporter sums up the staffer’s argument this way: “The point of having the ‘Balkanized’ approach – state health exchanges plus a federal one for states that didn’t build their own – was to appeal to centrist senators, he said, since most liberal Democrats would have been happy just to have a federal one.”

As the staffer explains it, “No one was willing to fall on their swords to make sure states ran their own exchanges.”

In other words, the text in the law that limits the flow of subsidies to state exchanges is nothing more than an Orwellian wordplay. It doesn’t mean what it says. Rather, it’s designed to give ‘centrist’ senators political cover for voting to do the exact opposite – give subsidies to everyone.

Confused? Gruber isn’t.

This new rationale sounds an awful lot like the “tortured” drafting of ObamaCare that takes advantage of the “stupidity of the American voter” that Gruber’s been saying for years.

Kudos for being honest. Now let’s see if he will remain so under oath.

December 1st, 2014 at 7:12 pm
ObamaCare Poorly Written No Matter How You Spin It

National Journal has a piece warning liberals not to dismiss the latest Supreme Court challenge to ObamaCare.

Specifically, it argues that liberals shouldn’t rely on the idea that the disputed statutory text – the part that limits federal subsidies to buy health insurance only to plans bought on an exchange “established by the State” – is simply a typo that can be brushed aside as a drafting error. Doing so would empower conservatives on the Court to say, in essence, that “they see the error, are powerless to fix it, and so must dismantle the statute.”

But here’s where the analysis goes off the rails. According to the NJ writer, the subsidies challenge should fail because “if you read the whole Affordable Care Act, taken together, the ‘established by the State’ line loses its clarity.”

In other words, when we read the relevant part of a federal statute and discover that it makes other parts of the same law undesirable – e.g. unsubsidized and thus unaffordable health insurance – the judges should ignore the plain text and substitute what they think Congress really intended.

That’s the kind of judicial activism that conservative justices like Antonin Scalia despise.

Or is it?

“…ObamaCare supporters have a pretty strong argument on the textual side because judges – even strict constructionists like Justice Antonin Scalia – have consistently said that courts should read the entire law as one unit when handling questions of statutory interpretation,” writes the author.

But that’s only true if the specific section under review is ambiguous. Zooming out to look at the entire law isn’t necessary when it’s plain to see that subsidies are clearly prohibited when States don’t operate their own exchanges. If ObamaCare is clear in the details and only loses clarity when read as a whole, that’s a problem for Congress to correct, not the Court.

No matter which way you read the subsidies provision, ObamaCare is proving itself to be a very badly written law.

November 18th, 2014 at 6:10 pm
Ahead of SCOTUS Challenge, HHS Murky on State-Based Exchange Definition

With its surprising decision to hear oral argument on an ObamaCare subsidy challenge next spring, the Supreme Court of the United States is causing a flurry of activity as some states try to shore up their status ahead of a potentially costly decision.

“The consulting firm Avalere Health estimates that nearly 5 million people would see their premiums spike 76 percent, on average, if the Supreme Court strikes down subsidies in states that don’t operate their own exchanges,” reports Governing. “That estimate assumes a greater number of exchanges are considered federal, not state-based, but the question of what exactly constitutes a ‘state-based’ health exchange is murky.”

How murky?

“States have the option of running their own exchange completely (a state-based exchange), managing aspects of plan design or consumer outreach (a partnership exchange) or leaving everything to the federal government (a federally facilitated exchange),” according to the website.

Predictably, the federal Department of Health and Human Services isn’t divulging its exact criteria for categorizing an exchange, a stance that leaves states without a clear picture of how to prepare for a possible elimination of subsidies to residents.

Some states, like Nevada and Oregon that switched to Healthcare.gov – the federal website – are still considered to have state-based exchanges because they retain control over functions like plan approval, data collection and quality reporting. Others, like Utah and Mississippi, also fall into the state-based category because they host small business exchanges (but not individual exchanges).

So, the bottom line appears to be this: If the Supreme Court axes ObamaCare subsidies per the law’s text and intent, there’s a good chance President Barack Obama’s political appointees will engage in verbal gymnastics to find ways to define “state-based exchanges” in whatever manner best suits them.

No matter. Getting something fundamentally better than ObamaCare isn’t the Supreme Court’s job anyway. Best to pocket the subsidy win if it comes and work toward a policy consensus among the political branches that delivers real reform.