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On June 25, 2015, the US Supreme Court once again saved the Patient Protection and Affordable Care Act (ACA) by acting to prevent a “calamitous result that Congress plainly meant to avoid.”1 In King v Burwell, the Court upheld subsidies (tax credits) for purchasing health insurance in federal exchanges, preserving financial assistance for 6.4 million low- and middle-income individuals. An adverse ruling would have placed affordable health insurance out of reach for millions more by disrupting the ACA’s interlocking reforms and destabilizing insurance markets.
Gostin LO, DeBartolo MC, Hougendobler DA. King v BurwellSubsidizing US Health Insurance for Low- and Middle-Income Individuals. JAMA. 2015;314(4):333-334. doi:10.1001/jama.2015.8673