The Leaflet: Hear about the Future of Obamacare at Heartland’s Emerging Issues Forum

Published July 24, 2014


Hear about the Future of Obamacare at Heartland’s Emerging Issues Forum 

On Tuesday, a panel of the U.S. Court of Appeals for the D.C. Circuit ruled in Halbig v. Burwell that the Obama administration is imposing taxes and spending funds through 36 state health insurance exchanges without statutory authority and contrary to the language of the Patient Protection and Affordable Care Act (PPACA). Less than two hours later, a panel of the U.S. Court of Appeals for the Fourth Circuit handed down a contradictory ruling on the issue in King v. Burwell.  This raises more questions about the future of PPACA and its viability.

In August 2011, the Internal Revenue Service proposed offering subsidies through the health insurance exchange established by the federal government, even though the PPACA language provides makes those subsidies available only “through an exchange established by the State.” The IRS’s decision to offer unauthorized subsidies in the federal exchange also triggers unauthorized taxes against millions of individuals and employers in the 36 states that ultimately opted not to establish exchanges. According to the Department of Health & Human Services, 87 percent of the 5.4 million people who had signed up for coverage on the federal exchange this spring received subsidies.

Heartland’s senior fellow for health care policy, Benjamin Domenech, explains, “Now citizens in the 36 states that chose not to bow to the administration’s wishes must wait to see whether higher courts will find they ought to be free from Obamacare’s requirements as well. Ultimately, this will be another opportunity for the Supreme Court to weigh in on Obamacare.”

To hear more about the rulings and what they mean for the future of Obamacare, register for our upcoming Emerging Issues Forum, where you will hear from some of the nation’s leading health care experts. The Emerging Issues Forum will take place in Minneapolis on Friday, August 22 and Saturday, August 23. Admission to the event is free for elected officials and staff. A limited number of scholarships to cover travel and accommodation expenses, up to $500, are available for members of Heartland’s Legislative Forum. Reserve your place at this event by going to our website,, or by contacting Alex Monahan, Heartland’s government relations coordinator, at 312/377-4000 or [email protected].   



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