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KHN First Edition: June 26, 2015 Part I


First Edition

Friday, June 26, 2015
Check Kaiser Health News online for the latest headlines

Today's early morning highlights from the major news organizations -- Part I

Kaiser Health News: Obamacare’s Next 5 Hurdles to Clear
Kaiser Health News staff writers Jordan Rau, Julie Appleby, Mary Agnes Carey and Phil Galewitz report: "In its first five years, the Affordable Care Act has survived technical meltdowns, a presidential election, two Supreme Court challenges — including one resolved Thursday — and dozens of repeal efforts in Congress. But its long-term future still isn’t ensured. Here are five of the biggest hurdles left for the law:" (Appleby, Carey, Galewitz and Rau 6/26)

Kaiser Health News: High Court Upholds Health Law Subsidies
Kaiser Health News staff writer Jay Hancock reports: "The Affordable Care Act made it through its second do-or-die Supreme Court test in three years, raising odds for its survival but by no means ending the legal and political assaults on it five years after it became law. The 6-3 ruling, a major win for the White House, stopped a challenge that would have erased tax-credit subsidies in at least 34 states for individuals and families buying insurance through the federal government’s online marketplace. Such a result would have made coverage unaffordable for millions and created price spirals for those who kept their policies, many experts predicted." (Hancock, 6/25)

Kaiser Health News: Having Survived Court Ruling, Insurance Markets Still Face Economic Threats
Kaiser Health News staff writer Jordan Rau reports: "Despite having survived a challenge in the U.S. Supreme Court, the federal government’s health insurance markets face weighty struggles as they try to keep prices under control, entice more consumers and encourage quality medical care. The government’s insurance markets – as well as more than a dozen run by states — have been operating for less than two years and are about to lose their training wheels. Start-up funds that have helped stabilize prices and partially pay for administration of the marketplaces are ending, feeding fears that premiums may rise after next year at a steeper rate." (Rau, 6/25)

Kaiser Health News: Obama Says Health Law ‘Is Here To Stay’
Kaiser Health News staff writer Phil Galewitz reports: "The Supreme Court’s decision to uphold a key part of President Barack Obama’s health law did more than preserve subsidies for millions of Americans. For the second time in three years, it helped cement his legacy." (Galewitz, 6/25)

Kaiser Health News: ‘I’m Elated … For Me And Millions Of Americans,’ Says Utahn With Subsidy
Kaiser Health News staff writer Phil Galewitz reports: "Across the country, people who used the federal health insurance exchange to buy subsidized health insurance expressed relief about Thursday’s ruling in King v. Burwell. 'I felt like I was out at the edge of a cliff,' said Steve Creswell, 63, of Hixson, Tenn., who feared the loss of his subsidy would have increased his insurance premium from $27 a month to over $400." (Galewitz, 6/25)

The New York Times: Supreme Court Allows Nationwide Health Care Subsidies
In dissent on Thursday, Justice Antonin Scalia called the majority’s reasoning “quite absurd” and “interpretive jiggery-pokery.” He announced his dissent from the bench, a sign of bitter disagreement. His summary was laced with notes of incredulity and sarcasm, sometimes drawing amused murmurs in the courtroom as he described the “interpretive somersaults” he said the majority had performed to reach the decision. (Liptak, 6/25)

The Wall Street Journal: Supreme Court Upholds Obama’s Health-Law Subsidies
The case turned on whether the law’s wording allowed for federal subsidies to help lower-income Americans nationwide buy insurance. A contrary ruling could have stripped coverage from millions by making their plans too costly. And it would have thrown the insurance and medical industries into turmoil as the 2016 presidential race heats up. Insurance and hospital businesses, which were preparing for disruptions to the health-care system if the government lost, breathed a sigh of relief and stocks in the companies rose. (Bravin and Radnofsky, 6/25)

USA Today: Supreme Court Upholds Obamacare Subsidies
The Supreme Court rescued President Obama's health care law on Thursday for the second time in three years, rejecting a conservative challenge to the law's financial structure that could have proved fatal. ... The high court's action virtually guarantees that Obama will leave office in January 2017 with his signature domestic policy achievement in place. (Wolf and Heath, 6/25)

The Washington Post: Affordable Care Act Survives Supreme Court Challenge
The Supreme Court on Thursday upheld a key part of the Affordable Care Act that provides health insurance subsidies to all qualifying Americans, awarding a major victory to President Obama and validating his most prized domestic achievement. ... Joining the chief justice in the majority were Justices Anthony M. Kennedy, Ruth Bader Ginsburg, Stephen G. Breyer, Sonia Sotomayor and Elena Kagan. Opposing the decision were Justices Antonin Scalia, Clarence Thomas and Samuel A. Alito Jr.(Barnes, 6/25)

The Wall Street Journal's Law Blog: In Obamacare Rematch, Verrilli Prevails Again
If blockbuster Supreme Court battles ended the way sports championships do, U.S. Solicitor General Donald Verrilli would be soaked in champagne and showered with Gatorade. And Jones Day partner Michael Carvin, the lawyer for the losing plaintiffs, would glumly file back into a hushed locker room. ... And once again, Mr. Verrilli prevailed, when Chief Justice Roberts united with the court’s liberal wing in refusing to dismantle the health law. (Gershman, 6/25)

The Washington Post: What’s Next For Obamacare? Most Action Isn’t Expected In Congress.
At least in Congress and the courts, probably not much. Despite expressing renewed resolve to repeal the health law, congressional Republicans know any such effort would face a certain veto from President Obama. And they are far from united on any particular plan. Meanwhile, legal challenges to the law remain, but none poses as serious a threat as King v. ­Burwell, which aimed at a pillar of the law — the insurance subsidies being provided to millions of people through the federal exchange. Most of the near-term action on the law, in fact, will occur in insurance companies, hospitals and government offices where people are working furiously to implement a complicated statute in a fast-changing environment. (DeBonis, Snell and Sun, 6/25)

The Associated Press: With Court Defeat, GOP Health Law Effort Now Aimed At '16
The Supreme Court's resounding rejection of a conservative attempt to gut President Barack Obama's health care overhaul won't stop Republicans from attacking the law they detest. But now, their efforts will be chiefly about teeing up the issue for the 2016 presidential and congressional elections. The court's decision left GOP lawmakers stunned and uncertain about some of their next steps. Most agreed they would continue trying to annul the entire law and erase individual pieces of it, like its taxes on medical devices. Yet many also conceded they have little leverage to force Obama to scale back — let alone kill — one of his most treasured legislative achievements. (6/26)

Politico: Even After Court Victory, Still No Easy Road For Obamacare
Obamacare has cleared a second major hurdle at the Supreme Court — but its troubles are far from over. The law is still highly unpopular, and significant structural issues remain: Health insurance rates are rising, many people don’t have as much choice of doctors and hospitals as they’d like, some states continue to struggle with their exchanges, and 21 states still haven’t backed Medicaid expansion. (Haberkorn and Pradhan, 6/25)

The Washington Post's Fact Checker: Fact Checking The Obamacare Rhetoric, Pro And Con
Moments after the Supreme Court upheld a key provision of the Affordable Care Act, aka Obamacare, our inbox began to be flooded with statements from politicians either condemning or praising the 6 to 3 ruling. These e-mails were then followed by queries from readers asking for an explanation of the facts spouted in those statements. Here’s a guide to some of the rhetoric, much of which we have covered in the past. As is our practice with such round-ups, we do not award Pinocchios. (Kessler, 6/26)

The New York Times: Obama Gains Vindication And Secures Legacy With Health Care Ruling
For years, President Obama has faced the sneers of political adversaries who called his health care law Obamacare and assailed his effort to build a legacy that has been the aspiration of every Democratic president since Harry S. Truman. But on Thursday, Mr. Obama walked into the Rose Garden to accept vindication as the Supreme Court, for a second time, affirmed the legality of a part of the Affordable Care Act. Mr. Obama said the law “is working exactly as it’s supposed to” and called for an end to the vitriolic politics that have threatened it. (Shear, 6/25)

Politico: Obama's Health Care Legacy Sealed
Chief Justice John Roberts’ decision, which was joined by the swing Justice Anthony Kennedy and the court’s four liberals, offered special vindication to Obama because it also affirmed that the whole point of his law was to improve the healthcare system. (Wheaton, 6/25)

Los Angeles Times: With Latest Supreme Court Endorsement, Obamacare Appears Cemented Into Law
Republicans' chances of repealing the law, which provides health coverage to more than 20 million Americans, all but evaporated after the strongly worded decision written by Chief Justice John G. Roberts Jr. ... With no serious Republican alternatives and a historic expansion in medical coverage well underway, Obamacare is about as firmly ensconced as a new law can be in a politically divided country. (Levey, 6/25)

Politico: High Court Gives White House Big Obamacare Victory
A ruling against the Obama administration would have eliminated the subsidies in the 34 states that refused to set up an insurance exchange — including pivotal 2016 presidential battlegrounds such as Florida, Wisconsin and Ohio. The Urban Institute estimated that more than 8.2 million people would be uninsured as a result, which could have dramatically destabilized insurance markets. (Haberkorn and Gerstein, 6/25)

The Washington Post: Cheers Throughout Obama’s Camp As Effort On Health Care Is Cemented
For President Obama, the threats to his health-care law have spanned the 6 1/2 -year arc of his presidency and come from virtually every direction: the Congress, the courts and the administration itself in the form of an initially faulty Web site. ... But this was a cheerful moment to remember — an inflection point, as White House aides like to say, that brought an emerging domestic legacy into sharper focus. (Nakamura, 6/25)

The Washington Post: Legacies Of Obama Presidency And Roberts Court Are Forever Intertwined
President Obama and Chief Justice John G. Roberts Jr. got off to a rough start from the very beginning, when they tripped over each other’s words during a key line in the oath at Obama’s first inauguration. ... But in Thursday’s Supreme Court decision upholding federal subsidies offered under the Affordable Care Act, Roberts again helped sustain the president’s policy legacy in a way that few could have anticipated when Obama took office. In voting with the majority and writing the opinion, the chief justice has ensured that the legacies of both the Obama presidency and the Roberts court are forever intertwined. (Eilperin and Barnes, 6/25)

Los Angeles Times: Obamacare Ruling Again Shows Chief Justice John Roberts' Independent Streak
Since becoming chief justice 10 years ago, John G. Roberts Jr. has been determined to show that the court he leads is made up of impartial jurists, not politicians in robes. In the phrase he used at his confirmation hearings, each justice is "like an umpire" at a baseball game — not favoring one team over the other. On Thursday, Roberts showed again his willingness to brush aside partisan politics and forge a middle ground on some of nation's most divisive issues, writing a 6-3 decision that upheld the broad reach of President Obama's healthcare law. (Savage,6/25)

Politico: Conservatives Steamed At Chief Justice Roberts' Betrayal
Conservatives were left baffled after Chief Justice John Roberts saved Obamacare three years ago. On Thursday, as the George W. Bush appointee again helped President Barack Obama’s signature legislative achievement avoid a potentially devastating blow, they felt betrayed. Adding to the sting: The chief justice wasn’t just along for the ride. When the court’s ruling allowing the law’s insurance subsidies to be offered nationwide emerged, he wrote the majority opinion and delivered it from the bench. (Gerstein, 6/25)

The Wall Street Journal's Washington Wire: Chief Justice Roberts Again Faces GOP Backlash Over A Health-Care Ruling
Supreme Court Justice Antonin Scalia’s laugh line in his health-care ruling dissent — “We should start calling this law SCOTUScare” – resonated on Capitol Hill. A number of House Republicans expressed frustration with Chief Justice John Roberts and his majority opinion upholding federal subsidies under the Affordable Care Act. It was the second time Chief Justice Roberts sided with the majority to keep key parts of President Barack Obama’s signature domestic initiative, leaving some conservatives questioning his conservative principles. (Stanley-Becker and son, 6/25

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