Seven Things You Should Know About the Supreme Court Decision on the Affordable Care Act (ACA)

Kelli Kolsrud, CEBS
Director, Information Services and Publications at the International Foundation

Lois Mathis-Gleason, CEBS
Manager, Reference/Research Services

The decision in the case of King v. Burwell is in! The Supreme Court has ruled. Now what?


  1. In the case of King v. Burwell, the Supreme Court has ruled in favor of Burwell, that is, the Obama administration.
  2. Because of this decision, nothing changes.
  3. Subsidies, also called premium tax credits, will continue to be available to individuals living in the 34 states with public health insurance exchanges run by the federal government as well as those living in the 16 states with state-run exchanges or the District of Columbia.
  4. Generally, subsidies are available to exchange enrollees who are not offered health coverage through an employer or government plan and whose household income falls between 100% and 400% of the federal poverty level.
  5. Other provisions of the Affordable Care Act (ACA) are still in effect, including rules requiring:
    • Individuals to obtain qualifying health insurance coverage (the individual mandate)
    • Employers with 50 or more employees to offer affordable, minimum-value health coverage to full-time employees and dependents (the employer mandate)
    • Coverage for dependents up to the age of 26
    • Prohibitions against preexisting conditions, rescissions, annual limits and lifetime maximums
    • PCORI and transitional reinsurance fees
    • Reporting and disclosure (e.g., the summary of benefits and coverage and health coverage information on Forms 1094 and 1095)
    • Waiting period limits
    • An excise “Cadillac” tax on high-value health plans starting in 2018.
  6. Congress will continue introducing legislation aimed at amending ACA.
  7. No matter the future course of ACA, the International Foundation will continue to provide you with updates. Watch the July 9, 2015 webcast on demandACA Update: King v. Burwell—Now What?

Keep up with ACA’s latest transformations on ACA University, a free member service from the International Foundation offering the latest news and insights you need to know about.