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Release : 2012
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Book Synopsis A Guide to the Supreme Court's Decision on the ACA's Medicaid Expansion by :

Download or read book A Guide to the Supreme Court's Decision on the ACA's Medicaid Expansion written by . This book was released on 2012. Available in PDF, EPUB and Kindle. Book excerpt: On June 28, 2012, the U.S. Supreme Court issued its decision in the case challenging the constitutionality of the Affordable Care Act (ACA), National Federation of Independent Business (NFIB) v. Sebelius. Two main provisions of the 2010 health reform law were at issue. The Court upheld the constitutionality of the ACA's minimum essential coverage provision, known as the individual mandate, which requires most people to maintain a minimum level of health insurance coverage beginning in 2014. The most complex part of the Court's decision concerned the ACA's Medicaid expansion: a majority of the Court found the ACA's Medicaid expansion unconstitutionally coercive of states because states did not have adequate notice to voluntarily consent to this change in the Medicaid program, and all of a state existing federal Medicaid funds potentially were at risk for non-compliance. However, a different majority of the Court held that this issue was fully remedied by limiting the Health and Human Services (HHS) Secretary enforcement authority, thus leaving the Medicaid expansion (and all other ACA provisions) intact in the law. This policy brief examines the Court ruling on the Medicaid expansion. A companion brief considers questions about implementation of the Medicaid-related provisions of the health reform law in light of the Court's decision.