Issue Brief Examines Possible Changes to ACA in Light of Supreme Court Case

Should the Supreme Court hand down a decision in King v. Burwell invalidating subsidies in the Federally-facilitated Marketplace, the fixes proposed to date would likely fail to retain a broad enough variety of consumers, maintain competition, and reduce health spending growth, according to a new issue brief by the American Academy of Actuaries. The issue brief urges policymakers to develop solutions that achieve all three of these goals, noting that failure to do so will threaten the viability of the insurance market. The issue brief concludes that options proposed to date like temporary premium subsidy extensions and eliminating the individual mandate would only delay market disruptions.

Pennsylvania: State Applies for State-based Marketplace

Governor Tom Wolf (D) announced that the Pennyslvania Department of Insurance submitted an application to CMS to establish a State-based Marketplace. Because the State currently operates a Federally-facilitated Marketplace, the governor framed this as part of his King v. Burwell contingency plan, “in order to protect 382,000 Pennsylvanians from potentially losing subsidies that help them afford health care coverage.” Submitting the application does not require Pennsylvania to establish a State-based Marketplace, but ensures the State has that option.