Your Source for Health Reform

Topic: Supreme Court



After the enactment of the Affordable Care Act in 2010, a number of states filed suit claiming the law was unconstitutional. On June 28, 2012, the U.S. Supreme Court upheld the ACA, finding that the penalty for failing to have health insurance was a tax. It struck down the law’s original requirement that the states must expand Medicaid coverage to poor adults, and by 2014 half the states had not implemented expansion.


Post DOMA Impact on Medicaid

This fact sheet describes the changes to the program flowing from the Supreme Court’s historic ruling. It explains the changes starting in 2014 if your state recognizes your marriage; if you are in a civil union or registered domestic partnership and your state recognizes your relationship; and if you live in a state that doesn’t recognize your relationship. (more…)

Medicaid Expansion in Illinois – A Legal Memo

This July 2012 memo from Sargent Shriver National Center on Poverty Law concluded that the Illinois General Assembly was on record, with bi-partisan majorities, in support of adopting the steps Congress has taken to cover all low income citizens under the Medicaid program. The memo further concluded that nothing in the Supreme Court’s NFIB v. Sebelius decision is inconsistent with or undoes the commitment the state has already made.

A Guide to the Supreme Court’s Affordable Care Act Decision

This policy brief from the Kaiser Family Foundation describes the Court’s decision and looks ahead to the implementation of health reform now that the constitutionality of the ACA has been resolved. The brief contains sections describing the background to the case, specifics pertaining to the individual mandate and Medicaid expansion, as well as how the overall decision will affect the future.

A Closer Look at the Medicaid Holding in NFIB v Sebelius

This implementation brief from HealthReformGPS examines exactly what the Court held in its Medicaid ruling and discusses the significance of the majority conclusion, as well as the key implementation questions that arise in the wake of this opinion. (more…)

Full Text of Supreme Court’s ACA Decision

Supreme Court of the United States Decision: National Federation of Independent Business et al v. Sebelious Secretary of Health & Human Services et al. Argued March 26, 27, 28, 2012. Decided June 28, 2012.

How the Court Could Rule on the Affordable Care Act

This simple graphic by the NY Times from June 2012 illustrated in interactive form the implications for the ACA based on possible Supreme Court rulings.

Transcript: First Day of ACA Supreme Court Arguments

Transcript released by the Supreme Court of the first day of oral arguments on the Affordable Care Act March 26, 2012.

Illinois Small Business Owners’ Views on Implementing the Affordable Care Act

A June 2012 Opinion Poll by the Small Business Majority found that once Illinois small business owners hear more about the healthcare law, their support for keeping it intact — either as is or with minor changes — rises to 68%, while the desire for it to be overturned drops to 14%. The poll was conducted in eight states with diverse political profiles. It also revealed a strong interest in workplace wellness programs, if they would help lower coverage costs.

The 1099 Provision

This February 2011 Health Affairs policy brief discusses a tax-reporting requirement for businesses, designed to raise revenues to finance health reform, which was now likely to be repealed. The “so-called 1099 provision doesn’t have anything directly to do with health care per se, but was designed to capture tax revenues that may be lost if businesses fail to report income. However, lawmakers from both parties and the Obama administration now support repealing the measure on the ground that it would place an undue burden on business, especially small businesses.”