Halbig v Burwell: Potential Implications for ACA Coverage and Subsidies

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Table 1 shows that 11.8 million individuals
are expected to enroll in the 34 Federally
Facilitated Marketplaces (FFMs) in 2016.
Of those, 7.3 million people are estimated
to receive federal subsidies to assist
in the purchase of private insurance
through the new Marketplaces. Many
of the lowest income among those 7.3
million people also receive cost-sharing
subsidies to lower their co-payments,
deductibles and co-insurance. A decision
in favor of Halbig translates into a loss of
$36.1 billion in 2016 of funds that would
otherwise go to individuals and families
with incomes below 400 percent of the
federal poverty level, with spillover effects
to state economies also expected from
the sizable reduction in federal dollars
flowing into these states. Losses would
be as high as $4.8 billion in Florida and
$5.6 billion in Texas.

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