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Administrative Law Keyed to Aman
King v. Burwell
Citation:
135 S. Ct. 2480 (2015)Facts
The Affordable Care Act implemented three major reforms to expand health insurance coverage: (1) guaranteed issue and community rating requirements preventing insurers from denying coverage or charging higher premiums based on health status; (2) an individual mandate requiring individuals to maintain health insurance or make a payment to the IRS; and (3) tax credits to make insurance more affordable for individuals with incomes between 100% and 400% of the federal poverty line. The Act required states to establish health insurance exchanges but provided that the federal government would establish exchanges in states that failed to do so. The plaintiffs lived in Virginia, which had a federally-established exchange. They argued that the statutory language providing tax credits for insurance purchased on “an Exchange established by the State” meant credits were unavailable on federal exchanges. Without these credits, the cost of insurance would exceed 8% of their income, exempting them from the individual mandate. The IRS, however, had interpreted the statute to make tax credits available on both state and federal exchanges.
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