SCOTUS decision could leave Iowans without ACA subsidies - KWWL - Eastern Iowa Breaking News, Weather, Closings

SCOTUS decision could leave Iowans without ACA subsidies

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WASHINGTON, D.C. (KWWL) - The state of Iowa is part of a major decision from the U.S. Supreme Court that could doom Obamacare.

There are four words in the Affordable Care Act that say people can sign up for insurance if it's through an exchange "established by the state."

But Iowa is one of 34 states that didn't provide an exchange - instead people sign up through the Healthcare.gov website.

The federal government spends $1.7 billion to give tax subsidies to help low-income Americans buy insurance. 

The people who brought the case to the Supreme Court say the 34 states are in violation of the law that Congress passed, and want those subsidies to stop.

Most experts believe people getting subsidies would not be able to afford health insurance if this happens.

"If the court rules with the challengers then more than 6 million people could lose their subsidies and on average this could mean that those people have to pay 200-300% more than they're paying now for health insurance," said health policy analyst Cynthia Cox from the Kaiser Family Foundation.

The Supreme Court decision could come as early as Thursday.

According to the Centers for Medicare & Medicaid Services, there are 34,172 Iowans who get the subsidy.
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