There was a chance the Supreme Court would either save *or* kill the #ACA this morning as part of several decisions announced...but the #TexasFoldEm case turned out not to be among those.
That means the ACA will likely survive at least until sometime this spring/summer. 2/
The good news is this means Congress still has time to #MootTheSuit. There's three possible ways to resolve the issue before SCOTUS issues their decision:
1. ⬆️ the penalty to $1 or more 2. Clarify that the mandate can be✂️ 3. ❌ the mandate language itself
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Unfortunately, #2 and #3 probably couldn't be passed in the Senate via reconciliation, & there's no way 10 GOP Senators would agree to #SaveTheACA, so that leaves #1: Raising the mandate penalty back above $0, which could be included in the #AmRescuePlan bill. 4/
The ACA mandate penalty was changed to $0 by the GOP in the first place via reconciliation as part of their 2017 tax cut bill; this would be a reversal.
It doesn't even have to be reset to the full $695/person. Even $1 would suffice...underscoring how stupid the lawsuit is. 5/
One new item: Until recently I assumed that it would have to be done BEFORE SCOTUS gives their decision. @nicholas_bagley informs me that Congress *could* do so *afterwards* after all...but they might not because of the political blowback. HOWEVER... 6/
...I'm fairly certain that they'd get a LOT MORE political blowback if the public knew that they COULD save the ACA and *chose not to do so*. Even Sen. Manchin & Sinema would be pilloried and rightly so.
Having said that, it'd still be better to #MootTheSuit NOW. 7/
For one thing, they're ALREADY PREPPING a reconciliation package for the #AmRescuePlan anyway. For another, that package INCLUDES MAJOR #ACA UPGRADES...it'd be absurd NOT to include this one, especially since it's fully reconciliation-compliant. 8/
For another, if they *don't* include it in this reconciliation bill and SCOTUS *does* strike down the law, then they'd have to include it in the 2nd reconciliation bill...and that could come too late to #SaveTheACA anyway.
Remember, even if you fall outside the parameters above, ANY documented U.S. resident is ALWAYS eligible for a 60-day Special Enrollment Period if they have a qualifying life experience like losing coverage, getting married/divorced, moving, giving birth, etc.
Also, Native Americans & Alaska Natives can enroll in #ACA exchange plans year-round.
FINALLY, you can enroll in MEDICAID or CHIP year round in any state, and you can enroll in the Essential Plan, MinnesotaCare or Connector Care year round in NY, MN & MA respectively.
I've posted graphs showing how much households would save if the #ACA subsidy cliff was killed & subsidies beefed up, but those were based on an earlier subsidy table.
Assuming the #ACA survives SCOTUS *and* the #AmRescuePlan becomes law w/#KillTheCliff & #UpTheSubs, here's how much you could save based on the *average* benchmark premium price nationally. Depending on where you live, your household & income, this could vary widely. 3/
🚨🚨🚨 REMINDER: The Supreme Court *may* save *or* strike down the entire #ACA as early as...TOMORROW MORNING: acasignups.net/21/01/29/heads…
After #SCOTUS heard oral argument in the absurd GOP-brought, GOP-blessed #TexasFoldEm lawsuit to strike down the #ACA last November, the assumption was that there's no way that they would issue their opinion any earlier than April - June. 2/
HOWEVER, both @ShermanCourt and @AHoweBlogger have noted that the #SCOTUS website indicates that they're scheduled to issue opinions on several cases "argued in the fall and/or winter" tomorrow (Wednesday) morning.
How they think: "If the ACA is struck down, it will lead to M4All!"
Reality: If the ACA is struck down, 23 million will lose healthcare coverage, hundreds of thousands will go bankrupt each year, tens of thousands will die each year, and no, M4All still won't happen.
It's important to understand that the SCOTUS decision isn't necessarily all or nothing. A few options would be acceptable. A few would be disastrous. And one in particular would be just a surreal actuarial mess.
Best to worst: 1. SCOTUS throws out entire case. 2. SCOTUS strikes down mandate, leaves everything else. 3. SCOTUS strikes down mandate & guaranteed issue, leaves everything else. 4. SCOTUS rules most of ACA must go; leaves odds 'n ends 5. SCOTUS strikes down EVERYTHING.
⚠️ It's Official: Cumulative #COVID19 cases *and* deaths per capita are now higher in Red Counties than in Blue Counties nationally: 1/ acasignups.net/21/01/31/weekl…
Counties w/highest cumul. #COVID19 cases per capita: 1. Crowley County, CO 2. Chattahoochee County, GA 3. Dewey County, SD 4. Lake County, TN 5. Lincoln County, AR 6. Bent County, CO 7. Norton County, KS 8. Bon Homme County, SD 9. Buffalo County, SD 10. Trousdale County, TN
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Fully 30% of Crowley County, CO has now tested positive for #COVID19 over the past year (1,816 out of 6,061 residents.
There's 11 counties where at least 20% of the population has tested positive, and 55 counties where at least 15% has.
3/