April 27, 2020

WHAT REPUBLICAN CONGRESS?:

Supreme Court rules government must pay billions to Obamacare insurers (SUSANNAH LUTHI, 04/27/2020, Politico)

The Supreme Court on Monday ruled the federal government owes health insurers massive payments from an Obamacare program shielding them from financial risks after the companies accused Washington of reneging on its funding promises.

The 8-1 decision could open the floodgates for federal cash to the insurance industry. Insurers who accused the government of a "bait and switch" claimed they're owed $12 billion from the Affordable Care Act program.

The case concerned a temporary fund in the health care law intended as a buffer for health plans who had sicker customers than expected in the newly overhauled insurance marketplaces. Obamacare's drafters hoped the program would be funded by industry, but health plans quickly racked up losses when the marketplaces opened in 2014. The next year, Republican lawmakers approved the first in a series of annual appropriations riders barring HHS from using taxpayer dollars to bankroll the program, known as risk corridors.

The high court agreed with insurers that the congressional spending restrictions didn't release the government from its original promise to fund the Obamacare program. The court said Congress had created "a rare money-mandating obligation" that later appropriations language couldn't repeal.

Posted by at April 27, 2020 10:44 AM

  

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