Kaiser Health News Original Stories

3. Looming Decision Could Cripple Part Of N.C. Health Insurance Market

If the Supreme Court invalidates some Obamacare tax subsidies, individual health insurance marketplaces in places like North Carolina could be hurt by the remaining deluge of sick people who keep coverage -- and the higher insurance premiums their presence demands. (Michael Tomsic, WFAE, 6/22)

4. Political Cartoon: 'Run The Risk?'

Kaiser Health News provides a fresh take on health policy developments with "Political Cartoon: 'Run The Risk?'" by Nate Beeler, The Columbus Dispatch.

Here's today's health policy haiku:


Jonathan Gruber’s
emails tell more about his
health law involvement.

If you have a health policy haiku to share, please Contact Us and let us know if you want us to include your name. Keep in mind that we give extra points if you link back to a KHN original story.

Health Law Issues And Implementation

5. Insurers, Health Providers Anxious About Decision On Health Law Subsidies

The Wall Street Journal reports that some people are making medical appointments now in anticipation of a ruling that could end their health coverage. Also bracing for the ruling, hospitals would explore ways to increase charity care if subsidies end for millions, while insurers might reexamine their participation in some markets. Business Insider, meanwhile, looks at the two men who will likely decide the law's fate -- Justices Anthony Kennedy and Chief Justice John Roberts.

The Wall Street Journal: Insurers, Hospitals Brace For Affordable Care Act Ruling
Hospitals, doctors and consumers are preparing for the fallout if the Supreme Court strikes down subsidies that help about 6.4 million Americans buy health insurance under the Affordable Care Act. Some people are making medical appointments now, in anticipation of being unable to afford their insurance. Hospitals are exploring ways to increase charity care or planning their lobbying strategies should subsidies on the federal insurance exchange be found illegal. And doctors worry about what they would tell their patients. (Armour, 6/21)

The New York Times: Health Insurers Brace For Supreme Court Ruling
Their industry already upended with the passage of the federal health care law, insurance companies are facing another upheaval if the Supreme Court rules that millions of Americans are not eligible for subsidies to help defray the cost of their coverage. The court is expected to decide by the end of June or in early July whether it agrees with the plaintiffs in King v. Burwell that the language in the Affordable Care Act allows the government to offer subsidies only in those states that have established their own insurance marketplaces. (Abelson, 6/21)

Reuters: Tensions Build As Supreme Court Readies Series Of Blockbuster Rulings
Tensions are building inside and outside the white marble facade of the U.S. Supreme Court building as the nine justices prepare to issue major rulings on gay marriage and President Barack Obama’s health care law by the end of the month. Of the 11 cases left to decide, the biggest are a challenge by gay couples to state laws banning same-sex marriage and a conservative challenge to subsidies provided under the Obamacare law to help low- and middle-income people buy health insurance that could lead to millions of people losing medical coverage. (Hurley, 6/21)

Business Insider: The Fate Of Obamacare Could Reside In The Hands Of One Of These 2 People
The fate of the Affordable Care Act is in the hands of the Supreme Court once again — and whether it lives as is or crumbles might depend on a justice who believes the heart of the law to be unconstitutional. Justice Anthony Kennedy is the traditional swing vote, and his views on the latest death threat to the law colloquially known as Obamacare will likely predict how the court rules. The fate of the decision could also rest with conservative Chief Justice John Roberts, who previously sided with the liberals to uphold the law. (Logiurato, 6/20)

News outlets report on Kansas, Missouri and North Carolina residents who receive subsidies and who might be impacted by the Supreme Court's decision -

The Kansas City Star: With ACA Ruling Near, Health Insurance For Millions Hangs in Balance
Marilyn Lynch of Kansas City could lose her health insurance this year. So could Kristine and Kenny Cloughley of Pleasant Hill. So could tens of thousands more in Missouri and Kansas, and millions nationwide. It all depends on an upcoming U.S. Supreme Court decision that will either help cement the legal foundations of the Affordable Care Act or so destabilize the ACA that it sends shock waves through the nation’s health care system and the 2016 election campaign. (Bavley, 6/21)

Kaiser Health News: Looming Decision Could Cripple Part Of N.C. Health Insurance Market
Roughly half a million North Carolinians could soon lose money they depend on for health insurance. The U.S. Supreme Court will rule soon on a key part of the Affordable Care Act. It governs federal subsidies for insurance in states like North Carolina that did not set up their own exchange or marketplace. The result could be disastrous for many low-income Americans and for insurance markets in about three dozen states. (Tomsic, 6/22)

6. State Republican Leaders Ask Congress To Offer Possible Plan To Salvage Subsidies

The officials are concerned that the Supreme Court may strike down the health law subsidies to help consumers pay for their premiums in states that are using the federal online insurance marketplace. Those concerns are also spurring other state actions and talks about possible moves on Capitol Hill.

The Wall Street Journal: State GOP Leaders Press Congress To Revamp Health Care Law
State Republican leaders are ratcheting up the pressure on Congress to overhaul the Affordable Care Act if the Supreme Court this month rules that subsidies on the federal exchange are invalid. Republicans from 33 states have written to Congress as part of a coordinated message urging federal legislators to develop a plan that would free states from the pressure of setting up their own exchanges to salvage subsidies, according to the Foundation for Government Accountability, a conservative think tank. (Armour, 6/19)

The New York Times: States Take Few Steps To Fill Gap If Supreme Court Blocks Health Subsidies
As the Supreme Court prepares to rule on whether to block health insurance subsidies in 34 states that use the federal insurance exchange, Pennsylvania and Delaware are the best prepared. They have submitted detailed plans for creating their own exchanges by next year, a move intended to keep subsidies flowing to their residents, though possibly with an interruption. (Goodnough, 6/21)

CNN: HHS Secretary: No Plan If Supreme Court Guts Obamacare
Days before the Supreme Court could strip it of a central component, there is still no "plan B" for Obamacare. Health and Human Services Secretary Sylvia Burwell warned the Obama administration will be unable to cover the millions of Americans who could lose their medical insurance if the Supreme Court decides to unravel much of the Affordable Care Act. (Acosta, 6/21)

The Hill: How The GOP's ObamaCare Plans Stack Up
Experts say the proposals floated by Republicans in response to the looming Supreme Court ruling on ObamaCare could lead to higher premiums, but also create improvements in the healthcare system over time. Congressional Republicans have for weeks been debating what they will do if the Supreme Court rules against the Obama administration in King v. Burwell. A defeat for the law could strip insurance subsidies from 6.4 million people. (Sullivan, 6/20)

7. CBO: Repealing Obamacare Would Boost Deficit, Number Of Uninsured

If Republicans succeed in repealing the 2010 health care law, it would add significantly to the deficit even using the budget accounting method favored by Republicans, according to projections by the Congressional Budget Office.

The New York Times: Mixed Effects Are Seen On An Affordable Care Act Repeal
The nonpartisan Congressional Budget Office said Friday that repealing the Affordable Care Act would significantly increase federal budget deficits and the number of people who are uninsured. But, it said, repealing the law would also raise economic output because it would create incentives for some people to work more. The estimates came in the first major study issued by the new director of the budget office, Keith Hall. It was also the first report to use new methods of fiscal analysis, according to instructions from the Republican majority in both houses of Congress. (Pear, 6/19)

The Wall Street Journal: Health Law Repeal Would Raise Federal Deficits By $137 Billion In 10 Years, CBO Says
Repealing the Affordable Care Act would cost the U.S. government $137 billion over the next decade and more than that in the following 10 years, the Congressional Budget Office said Friday. The report—the first federal assessment since the main provisions of the ACA took effect in 2014—found that repealing the law would increase deficits by $353 billion over 10 years. But after taking into account economic factors, including the slightly larger workforce participation that would result from repeal, that amount would fall to $137 billion. (Timiraos and Radnofsky, 6/19)

The Washington Post: Obamacare Repeal Could Add $353 Billion To The Deficit
Repealing President Obama’s signature health care law would add significantly to the deficit, even under a new accounting method advocated by congressional Republicans who want to get rid of the Affordable Care Act. The Congressional Budget Office on Friday projected that scrapping the law would cost $353 billion over the next decade using its traditional scoring method and $137 billion under the model favored by Republicans, which takes into account the economic impact of tax and spending policies. (Snell, 6/19)

McClatchy: CBO Gives Ammo To Obamacare Opponents, Proponents
Ahead of a much-anticipated Supreme Court ruling and just as the 2016 presidential race is kicking into gear, the Congressional Budget Office has weighed in on the costs and/or benefits of repealing Obamacare. The CBO released on Friday its report on the budgetary and fiscal impact of repealing the Affordable Care Act of 2010, shorthanded as Obamacare. It determined that on balance, getting rid of Obamacare would raise budget deficits from 2016 to 2025 by $353 billion under traditional measurement, and $137 billion by a measure that presumes economic benefits. (Hall, 6/19)

The Associated Press: Study Says Repealing 'Obamacare' Would Add To Budget Deficit
A nonpartisan government study says repealing President Barack Obama's signature health care law would modestly increase the budget deficit and the number of uninsured Americans would rise by more than 20 million. The report from the Congressional Budget Office comes ahead of a highly anticipated Supreme Court ruling that could have a major impact on the Affordable Care Act, nullifying health insurance subsidies for some 6 million people in more than 30 states. The budget analysts said that would add a host of new uncertainties to their estimates. (Taylor and Alonso-Zaldivar, 6/20)

Politico: Price Tag Of Obamacare Repeal: $353 Billion
The Congressional Budget Office’s conclusion today that sacking Obamacare would swell the budget deficit by as much as $353 billion wasn’

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