The U.S. Supreme Court upheld Affordable Care Act insurance premium subsidies for citizens in states without a State-based Exchange in a 6-3 decision in King v. Burwell this morning. This decision impacts more than six million Americans in 34 states and more than 150,000 with subsidies in South Carolina. The Supreme Court made their ruling based on the intent of Congress. "Congress passed the Affordable Care Act to improve health insurance markets, not to destroy them," Chief Justice John Roberts.
From the ruling
“The combination of no tax credits and an ineffective coverage requirement could well push a State’s individual insurance market into a death spiral. It is implausible that Congress meant the Act to operate in this manner. Congress made the guaranteed issue and community rating requirements only work when combined with the coverage requirement and tax credits. It thus stands to reason that Congress meant for those provisions to apply in every State as well.
South Carolina’s hospitals are encouraged by the Court’s decision to uphold healthcare subsidies for more than 150,000 South Carolinians. While today’s judgment allows many families to breathe a sigh a relief, we continue to seek a solution for the 200,000 working poor citizens who fall into the state’s coverage gap and make too little money to qualify for a health subsidy.