What Happens if States Can’t Use Healthcare.gov for ACA Subsidies?

The Affordable Care Act (ACA) provides health insurance subsidies to low- and moderate-income Americans. These subsidies help people afford health insurance plans that meet their needs. However, a recent Supreme Court ruling has put the future of these subsidies in jeopardy.

What is the King v. Burwell Case?

In King v. Burwell, the Supreme Court ruled that the ACA’s subsidies are only available to people who purchase health insurance through a state-run marketplace. This ruling has created uncertainty for people who purchase health insurance through the federal marketplace, Healthcare.gov.

What States Are Affected by the King v. Burwell Ruling?

The King v. Burwell ruling affects 34 states that use Healthcare.gov for their health insurance marketplaces. These states are:

Alabama
Arkansas
Arizona
Colorado
Connecticut
Delaware
Florida
Georgia
Idaho
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
North Carolina
North Dakota
Ohio
Oklahoma
Pennsylvania
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
West Virginia
Wisconsin

What Happens if States Don’t Establish Their Own Marketplaces?

If states do not establish their own health insurance marketplaces, their residents will not be eligible for ACA subsidies. This could make health insurance unaffordable for many people, and could lead to a decrease in the number of people who have health insurance.

What Are States Doing to Address the King v. Burwell Ruling?

Some states are taking steps to establish their own health insurance marketplaces. However, other states are not taking any action, and it is unclear what will happen to the ACA subsidies in these states.

The future of the ACA subsidies is uncertain. However, it is important for people to understand the potential impact of the King v. Burwell ruling, and to take steps to ensure that they have health insurance coverage.

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