King v. Burwell Decision Upholds Subsidies in Federal Exchanges

By Ankur J. Goel, Eric Zimmerman, H. Guy Collier and Jeremy Earl on July 2, 2015

Posted In Benefit Controversies, Employee Benefits, Fiduciary and Investment Issues, Health and Welfare Plans, Labor

On June 25, 2015, the Supreme Court of the United States ruled in King v. Burwell that the Affordable Care Act (ACA) requires premium tax credits to be made available in states that use a federal exchange. The case challenged an Internal Revenue Service (IRS) regulation allowing tax credits in federal exchanges. The Supreme Court upheld the regulation as consistent with the statute. Our On the Subject provides a discussion on the issue.

Click here to read the full article.

Tags: Affordable Care Act, Chevron, federal health exchanges, insurance markets, Internal Revenue Service, King v. Burwell, state health exchanges, Supreme Court of the United States

Ankur J. Goel
Ankur J. Goel represents health industry clients in significant compliance, False Claims Act, litigation and regulatory matters. Ankur works with a range of health industry clients. He represents health plans on issues arising under Medicare Advantage, Part D, and health insurance exchanges, as well as health care providers on a variety of complex enforcement, compliance, regulatory and litigation matters. Read Ankur Goel's full bio.

Eric Zimmerman
Eric Zimmerman is a recognized Medicare law and policy authority and registered lobbyist who represents clients before Congress and administrative agencies, and helps clients navigate federal legislative and regulatory processes related to Medicare coverage, coding, reimbursement and compliance. Eric is partner-in-charge of the Firm's Washington, DC Health Industry Advisory Practice Group. He also serves as a principal of McDermott+Consulting LLC. Read Eric Zimmerman's full bio.

H. Guy Collier
H. Guy Collier represents academic medical centers, schools of medicine, hospitals and health systems on transactional and related regulatory issues. He has particular experience in affiliations between academic medical centers and health systems and has been responsible for a number of cutting-edge transactions in this area. Read Guy Collier's full bio.

Jeremy Earl
Jeremy Earl focuses his practice on providing complex regulatory counseling and advice to a variety of health care organizations such as health insurers, health maintenance organizations, pharmacy benefit managers, health care providers and other industry stakeholders on federal and state regulatory matters. He also drafted and negotiated numerous value-based provider reimbursement agreements on behalf of managed care entities and health care providers such as accountable care organizations (ACOs), health systems and health insurers.Read Jeremy Earl's full bio.

King v. Burwell Decision Upholds Subsidies in Federal Exchanges

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