March 4, 2015: Demonstrators rally outside the Supreme Court in Washington, as the court was hearing arguments in President Obama's healthcare overhaul.
The upcoming Supreme Court decision on the Affordable Care Act could wipe out insurance for millions of people covered by the president’s health care plan, leaving states that set up their own health care markets scrambling to subsidize coverage for those left uninsured.
Twenty-six of the 34 states that would be hardest hit by the ruling have GOP governors. Twenty-two of the 24 Senate seats that are up for re-election in 2016 are currently held by Republicans. What that means is that it’s the GOP – and not the White House –that’s working on damage control.
President Obama’s landmark legislation offers subsidized private insurance to those without access to it on the job. In the Supreme Court case, opponents of the law argue that its literal wording allows the government to subsidize coverage only in states that set up their own health insurance markets.
The justices will determine whether the law makes people in all 50 states eligible for federal tax subsidies -- or just those who live in states that created their own health insurance marketplaces. The question matters because about three dozen states opted against their own marketplace, or exchange, and instead rely on the U.S. Health and Human Services Department’s Healthcare.gov.
If the court rules against the Obama administration, insurance subsidies for people in those states would be in jeopardy.
If the court invalidates the subsidies in those states, the results would be “ugly,” former Kansas insurance commissioner Sandy Praeger told The Associated Press.