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In a potentially crippling blow to Obamacare, a top federal appeals court Tuesday said that billions of dollars worth of government subsidies that helped 4.7 million people buy insurance on HealthCare.gov are not legal under the Affordable Care Act.
In its decision, a three-judge panel said that such subsidies can be granted only to people who bought insurance in an Obamacare exchange run by an individual state or the District of Columbia — not on the federally run exchange HealthCare.gov. Plaintiffs in the case known as Halbig v. Burwell argued that the ACA, as written, only allows that often-significant financial aid to be issued to people who bought insurance on a marketplace set up a state.
The decision is certain to be challenged by the Obama Administration, and does not immediately have the effect of law. But if it is ultimately upheld, it would cause insurance rates for those people who lost the subsidies to dramatically rise.
HealthCare.gov serves residents of the 36 states that did not create their own health insurance marketplace. About 86 percent of its 5.45 million customers received a subsidy to offset the cost of their coverage this year because they had low or moderate incomes.
In a report issued Thursday, the consultancy Avalere Health said that if those subsidies were removed this year from the 4.7 million people who received them in HealthCare.gov states, their premiums would have been an average of 76 percent higher in price than what they are paying now.
Another report by the Robert Wood Johnson Foundation and the Urban Institute estimated that by 2016, about 7.3 million enrollees who would have qualified for financial assistance will be lose access to about $36.1 billion in subsidies if those court challenges succeed.
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People wait in line to see an agent from Sunshine Life and Health Advisors as the Affordable Care Act website is reading, ‘HealthCare.gov has a lot of visitors right now!’ at a store setup in the Mall of Americas on March 31, 2014 in Miami, Florida.
Before the decision, a leading Obamacare expert who was firmly opposed to the plantiffs’ arguments said a ruling in their favor could have major consequences for the health-care reform law.
“If the courts were to decide that the Halbig plaintiffs were right, it would be a huge threat to the ACA,” said that expert,Timothy Jost, a professor at the Washington and Lee University School of Law.
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“It’s a very big deal,” said Ron Pollack, founder of the health-care consumers advocacy group Families USA, and Enroll America, a major Obamacare advocacy group.
Pollack noted that the more than 5 million people who have received subsidies via HealthCare.gov “would have them taken away.”
“It certainly would cause a lot of people to rejoin the ranks of the uninsured,” Pollack said. “The provision of the tax credit premium subsidy makes a huge difference in terms of whether people considering enrollment or enrolling in coverage will find such coverage affordable.”
Health Insurance Subsidies
Health Insurance Subsidies
Key 1 2
States that use Healthcare.gov, the federal health insurance marketplace. People in these states are at risk of losing the subsidies they receive through the ACA. States where the state runs the health insurance marketplace.
Data: Department of Health and Human Services
Last week, two analyses underscored the potential effects of the subsidies ultimately being deemed illegal.
The consultancy Avalere Health said people who currently receive such subsidies in the affected stateswould see their premium rates raise an average of 76 percent.
And the Robert Wood Johnson Foundation and the Urban Institute said that by 2016, about 7.3 million enrollees would lose about $36 billion in subsidies.
On Monday, one of the intellectual godfathers of the argument that is the basis of the Halbig case, as well as three other similar pending court challenges, said that tens of millions of people would be freed from Obamacare mandates in the affected states if the challenges prevailed.
Michael Cannon, director of health policy studies at the libertarian Cato Institute, said more than 250,000 firms in those states—which have about 57 million workers—would not be subject to the employer mandate being phased in starting next year. That rule, which hinges on the availability of subsidies on Obamacare exchanges, will compel employers with 50 or more full-time workers to offer affordable health insurance or pay a fine.
Courts could cause big Obamacare $$$ hike
And if the challenge prevail, a total of about 8.3 million individuals will be “free” of Obamacare’s rule that they have health insurance or pay a fine equal to as much as 1 percent of their taxable income, said Cannon, who with law professor Jonathan Adler laid the groundwork for the challenges to the HealthCare.gov subsidies.
Oral arguments heard by a three-judge panel on that DC federal appeals court in March—when two of the judges appeared sympathetic to the plaintiffs—gave Halbig supporters renewed hope that their claim would succeed.
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Halbig was the first of those cases decided at the appellate level.
In the other case that has been heard on appeal, one first filed in Virginia federal district court, the 4th U.S. Circuit Court of Appeals is expected to issue a ruling any day.
However, that circuit is widely expected to rule against the plaintiffs’ claims challenging the legality of the Obamacare subsidies on HealthCare.gov.
–By CNBC’s Dan Mangan