Bagley Nicholas
University of Michigan.
J Health Polit Policy Law. 2015 Jun;40(3):589-97. doi: 10.1215/03616878-2867881. Epub 2014 Nov 25.
As an essential part of its effort to achieve near universal coverage, the Affordable Care Act (ACA) extends sizable tax credits to most people who buy insurance on the newly established health care exchanges. Yet several lawsuits have been filed challenging the availability of those tax credits in the thirty-four states that refused to set up their own exchanges. The lawsuits are premised on a strained interpretation of the ACA that, if accepted, would make a hash of other provisions of the statute and undermine its effort to extend coverage to the uninsured. The courts should reject this latest effort to dismantle a critical feature of the ACA.
作为实现近乎全民医保覆盖努力的重要组成部分，《平价医疗法案》（ACA）向大多数在新设立的医保交易所购买保险的人提供了可观的税收抵免。然而，已有几起诉讼对在34个拒绝设立自己的医保交易所的州中这些税收抵免的可用性提出质疑。这些诉讼基于对《平价医疗法案》的牵强解释，如果这种解释被采纳，将会把该法规的其他条款弄得一团糟，并破坏其将医保覆盖范围扩大到未参保者的努力。法院应驳回这种最新的试图破坏《平价医疗法案》一项关键特征的做法。
