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It's time for White House to start sweating over legal challenge to Obamacare subsidies
Washington Examiner ^ | March 25, 2014 | Philip Klein

Posted on 03/26/2014 1:03:46 AM PDT by Cincinatus' Wife

[Carter appointee Judge Harry Edwards] prodded Carvin to explain why Congress saw it as such an advantage to have states rather than the federal government manage the exchanges. “Why does it matter who establishes the exchanges?” he asked. “Your argument makes no sense.”

He said, “Who cares?”

At that point, [GHWB appointee Judge Raymond] Randolph jumped in and said, “Ben Nelson.”

Carvin agreed, arguing that Nelson, the former senator from Nebraska, was withholding support for Obamacare, in part, because he wanted exchanges to be state-based rather than federally-run. To get the law across the finish line, the Senate voted to make exchanges state-based, with the powerful inducement of generous subsidies.

As the U.S. Supreme Court weighed the constitutionality of a contraception coverage mandate Tuesday morning, a federal appeals court heard a separate legal challenge that could have much more sweeping implications for the future of President Obama's health care law.

And if the oral arguments before the U.S. Court of Appeals for the D.C. Circuit are any indication, it’s time for the White House to start sweating over a lawsuit that up until now has flown relatively below the radar.

At issue in the case are the subsidies that the federal government provides for individuals purchasing insurance through Obamacare. Though the text of the law says the subsidies were to go to individuals obtaining insurance through an “exchange established by the state,” a rule released by the Internal Revenue Service subsequently concluded that subsidies would also apply to exchanges set up on behalf of states by the federal government.

The case before the appeals court, Halbig v. Sebelius, is one of several challenging the IRS rule.

Were the case to succeed, it would mean that dozens of state governments opposed to Obamacare could significantly narrow its scope by refusing set up exchanges, thus preventing residents from claiming subsidies. In those states, employers wouldn't be penalized for failing to offer qualifying insurance (which is triggered by workers seeking federal subsidies), meaning that anti-Obamacare states could become more attractive to businesses trying to get around the employer mandate. It would also increase pressure on Congress to undo the individual mandate.

On the flip side, such a ruling would also place pressure on anti-Obamacare governors, who would be forced to decide whether to stand firm in opposition to Obamacare or to set up their own exchanges so residents can apply for subsidies.

The Obama administration has argued — and the lower court affirmed — that viewed in its entirety and taking into account the legislative history, Congress obviously intended for subsidies to go to individuals purchasing insurance on all exchanges regardless of which entities were running them.

But in oral arguments Tuesday, that wasn’t necessarily obvious to a majority of the three-judge panel, which seemed divided on the question.

On the one end, Judge Harry Edwards, a nominee of President Carter, dismissed the challenge as “preposterous,” describing it as a desperate attempt to gut the law. On the other end, Judge Raymond Randolph, a President George H.W. Bush nominee, called it “a leap” for the Obama administration to argue that when Congress used the language “established by the state” legislators really meant the federal government.

That left Judge Thomas Griffith, nominated by President George W. Bush, sitting both physically and metaphorically in the middle. Griffith asked skeptical questions of both sides, emphasizing that the text of the law clearly referred to subsidies going to an “exchange established by the state,” but also weighing the broader legislative history.

Under the design of the law, states were given the option of setting up their own health insurance exchanges. If states chose not to, then Secretary of Health and Human Services Kathleen Sebelius could set up exchanges on their behalf. In total, exchanges in 36 states were created at least in part through the federal government.

Michael Carvin, a veteran of the 2012 health care case that went to the Supreme Court, in representing the challengers, argued that Congress intentionally limited subsidies to state-based exchanges as an incentive for states to set up their own exchanges. In other words, governors who didn’t set up exchanges would be facing pressure by residents who wouldn’t have access to hundreds of billions of dollars in federal subsidies.

Edwards ripped into Carvin, explaining that he had gone through the legislative history thoroughly and hadn’t found evidence that Congress intended for subsidies to be limited to states that created their own exchanges. He said the idea that limiting the subsidies was meant as an incentive “seems preposterous,” adding, “no one understood what you’re arguing now at the time the bill was being passed.”

He said that Carvin was running with a strange argument in an effort to “kill” the health care law. “That’s what this is about, gutting the act.”

The judge prodded Carvin to explain why Congress saw it as such an advantage to have states rather than the federal government manage the exchanges. “Why does it matter who establishes the exchanges?” he asked. “Your argument makes no sense.”

He said, “Who cares?”

At that point, Randolph jumped in and said, “Ben Nelson.”

Carvin agreed, arguing that Nelson, the former senator from Nebraska, was withholding support for Obamacare, in part, because he wanted exchanges to be state-based rather than federally-run. To get the law across the finish line, the Senate voted to make exchanges state-based, with the powerful inducement of generous subsidies.

When Stuart Delery of the Department of Justice appeared to make the case for the Obama administration, arguing that Carvin was taking one isolated phrase out of context, Randolph pounced. The judge said that by his count, the phrase “established by the state” appeared no less than seven times in the relevant section. “It’s not an isolated reference,” he said.

He was also dismissive of the argument that other parts of the law could be melded with the “established by the state” text to explain that the clear meaning was that subsidies should be available to individuals in all exchanges.

“What we have here is language that doesn’t seem malleable in any way, shape, or form,” Randolph said.

He also argued that Obamacare has involved a series of bad predictions by Congress. “The launch was an unmitigated disaster,” Randolph said, and despite the predictions, “the costs have been sky high.” He asked, “What if Congress acted on the assumption that dangling this carrot” in the form of subsidies would induce states to establish an exchange?

He pointed out that Congress assumed more states would set up their own exchanges, as evidenced by the relatively small amount of money allocated to the federal government to set up exchanges. When the IRS issued its ruling that subsidies would be available regardless of who established the exchange, it changed the calculus and there was no longer much of an incentive for states to do so.

When questioning Carvin, Griffith asked if they could look at the text alone, rather than the structure and legislative history. He asked whether there was any evidence at the time that the issue of limiting subsidies to the states as an inducement was on the mind of legislators. Or, he asked, did it merely surface after the fact once libertarian health care scholar Michael Cannon of the Cato Institute raised the issue along with Case Western University law professor Jonathan Adler.

After Carvin noted that Timothy Jost, a Washington and Lee University law professor who was influential in the health care debate advocated this strategy, Griffith shot back: “Which state does Jost represent?”

However, Griffith was critical of the case being made by the Obama administration. Several times, he pointed out that the key part of the phrase “established by the state” seemed to be who was establishing the exchange, a distinction Delery was trying to portray as arbitrary for the purpose of subsidies.

“It wasn’t established by a state” if HHS set it up, he argued. He said that he thought the government had a “special burden” to demonstrate the legislative history is on the administration’s side given that the plain language of the law contradicted them.

He also asked whether, if Congress didn’t legislate something clearly, it was really the court’s job to fix the statute.

When Delery argued that the clear purpose of the act was to expand insurance coverage by making it more affordable, Griffith countered that political compromise (in this case, encouraging states to start their own exchanges) may complicate lawmakers’ original purpose.

As always, it’s hard to predict judicial outcomes based on oral arguments, a lesson that was made abundantly clear when many observers predicted that the Supreme Court would strike down the individual mandate only to see it upheld. But it’s fair to say that based on the oral arguments, two of the three justices seemed at least open to the idea of striking down the IRS rule, which would almost certainly send the issue to the Supreme Court.

Even this possibility should be enough to make Obama administration officials a bit nervous, given how dramatically an adverse ruling could effect their implementation strategy for the health care law.


TOPICS: Crime/Corruption; Extended News; Government; News/Current Events
KEYWORDS: 0carenightmare; abortion; aca; deathpanels; exchanges; mandate; obamacare; obamacareillegal; obamacaresubsidies; stateexchanges; zerocare

1 posted on 03/26/2014 1:03:46 AM PDT by Cincinatus' Wife
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To: All
Federal court says Obamacare built on quicksand "A federal appeals court Tuesday seemed skeptical of the Obama administration’s claim that it can give subsidies to Americans regardless of what kind of Obamacare exchange they join, in a case that could threaten the fundamental deal underpinning the Affordable Care Act.

One judge called the Obamacare rollout an “unmitigated disaster” and said the administration is stretching to try to cover up for how poorly the law was written.

“I know there’s an absurdity principle, but is there a stupidity principle?” said Judge A. Raymond Randolph. “If the law is just stupid, I don’t think it’s up to the court to save it.”

At stake in the case is whether the government can pay subsidies to help Americans buy insurance regardless of whether they are in states that set up their own health care markets, known as exchanges, or whether they live in the two-thirds of states where the federal government stepped in to set up an exchange.

If the court rules that residents are able to get tax credits only if they are part of state-run exchanges, many of the Americans who live in the 34 states where the federal government runs the exchange will be less likely to sign up. If they don’t sign up and choose to pay the tax penalty under the individual mandate, it could skew the economics underpinning the entire law.................."

2 posted on 03/26/2014 1:23:35 AM PDT by Cincinatus' Wife
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To: All
With Big Government running your healthcare and the "environment" what could possibly go wrong?

The Same Danish Zoo That Put Down a Healthy Giraffe, Just Killed Four of Its Lions - was necessary for "genetic diversity."

3 posted on 03/26/2014 2:01:03 AM PDT by Cincinatus' Wife
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To: Cincinatus' Wife
"He also asked whether, if Congress didn’t legislate something clearly, it was really the court’s job to fix the statute."

Perhaps the Court is saying that it is not the job of the Court to correct the buffoonery in laws passed by Democrats (Reid/Pelosi).

4 posted on 03/26/2014 3:57:57 AM PDT by Enterprise ("Those who can make you believe absurdities can make you commit atrocities." Voltaire)
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To: Cincinatus' Wife

Judge Harry Edwards:
explained that he had gone through the legislative history
and hadn’t found evidence that Congress intended for subsidies
to be limited to states that created their own exchanges.
“Limiting the subsidies as an incentive seems preposterous.”

Michael Carvin:
Ben Nelson, the former senator from Nebraska,
was withholding support for Obamacare,
because he wanted exchanges to be state-based.
The Senate voted to make exchanges state-based,
with the powerful inducement of generous subsidies.

Judge Raymond Randolph:
“the phrase “established by the state” appears no less
than seven times in the relevant section.
It’s not an isolated reference,”
“Congress assumed more states would set up their own exchanges,
as evidenced by the relatively small amount of money allocated
to the federal government to set up exchanges.”

Judge Thomas Griffith:
pointed out that the key part of the phrase “established by the state”
seemed to be who was establishing the exchange.
“It wasn’t established by a state” if HHS set it up.
He also asked whether, if Congress didn’t legislate something clearly,
it was really the court’s job to fix the statute.


5 posted on 03/26/2014 4:08:34 AM PDT by Repeal The 17th (We have met the enemy and he is us.)
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To: Repeal The 17th

The Cliff Notes version!

:)


6 posted on 03/26/2014 4:22:29 AM PDT by Cincinatus' Wife
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To: Enterprise

There is a long established legal principle that a court may not make a better contract.

The courts cannot fix a bad contract.

And Obamacare is a horrible contract. And Roberts should have sunk it instead of throwing it a life preserver.


7 posted on 03/26/2014 4:42:28 AM PDT by exit82 ("The Taliban is on the inside of the building" E. Nordstrom 10-10-12)
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To: exit82
"And Roberts should have sunk it instead of throwing it a life preserver."

Only Snowden knows why he didn't...

8 posted on 03/26/2014 1:30:50 PM PDT by uncommonsense (Liberals see what they believe; Conservatives believe what they see.)
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