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Supreme Court Rules on Subsidy Question for ACA Enrollees

The U.S. Supreme Court has ruled in favor of the Obama Administration regarding the permissibility of federal subsidies to enrollees in certain states when they obtain coverage under the Affordable Care Act (ACA).

The case revolved around a reading of ACA and the following question: Can enrollees receive the subsidies in those specific states that declined to set up their own exchanges? In such cases, enrollees have had to use the federal exchange.

By a 6-3 vote, the justices said that ACA does allow the subsidies to be provided in the 34 states that opted out of setting up their own insurance exchanges.

New York is not one of those states – it has its own exchange – and is, therefore, not affected by the ruling. Its exchange continues to operate as it has.

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