Poll: Is It Time for New Jersey to Revisit a State-Based Exchange?

Court decisions throw settled situation into turmoil for growing group of newly insured

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Two U.S. appeals courts reached wildly contrasting decisions on whether the Affordable Care Act allows the federal government to subsidize health insurance for low- to middle-income residents. Now calls are already arising for the state to reconsider its decision to rely on the federal insurance marketplace rather than operate a state exchange.

Much depends on the U.S. Supreme Court, which earlier upheld the ACA while allowing states to make their own decisions about whether to expand Medicaid. If the decision by the U.S. Court of Appeals for the D.C. Circuit is upheld, it would affect the growing group of more than 120,000 New Jersey residents who are receiving tax credits. Without these credits, these people may rejoin the ranks of the uninsured.