ACA and the Supreme Court Decision on Premium Subsidies

The U.S. Supreme Court voted 6-3 on Thursday, June 25, to uphold health insurance subsidies for people who purchased their insurance through a federal health insurance exchange.  The ruling in King v. Burwell means that millions of people will continue to receive insurance subsidies from the federal government.

NCSL has a range of resources related to the decision and background on health insurance exchanges and state legislative action.

U.S. Supreme Court Decision

• NCSL Blog:  Supreme Court Upholds ACA: Subsidies Will Not Subside | June 25, 2015 by Lisa Soronen

NCSL Resources

• State Actions to Address Heath Insurance Exchanges - A review of requirements, options and results in the 50 states (structures, enrollment, insurers, costs and more) - updated August 2015. 
• 2015 Legislative Summit | "What's Next with States and the ACA?" - Watch the full session online; held in Seattle on August 5. (No charge or password needed)
• 2015 Legislation Report  | A summary of bills to switch to a state-run exchange, or  seek to lock-in or move to a federally facilitated marketplace. Read how states still have the power and option to change the structure of their exchange. Updated July 30, 2015.
  • Legislative Session Calendar - Which states are still in session for 2015
• NCSL Federal Health Reform homepage
• State Laws and Actions Challenging Certain Health Reforms - NCSL reports legislative enactments in 22 states opposing individual or employer mandates and opting out of other provisions. August 2015.