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1.
J Health Polit Policy Law ; 40(3): 577-88, 2015 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-25425084

RESUMO

Does the Patient Protection and Affordable Care Act (ACA) of 2010 authorize tax credits within the thirty-six states that failed to establish health insurance exchanges? That is the question presented in Pruitt v. Burwell, Halbig v. Burwell, King v. Burwell, and Indiana v. IRS. The plaintiffs argue that the statute is clear and forecloses any possibility of tax credits in federal exchanges. The government argues that the statute plainly authorizes tax credits in federal exchanges, or is at least ambiguous on the question. Mere disagreement is not evidence of ambiguity. Reaching the truth requires wading deep into each side's arguments. Whether the relevant text is viewed in isolation or in its full statutory context, the ACA authorizes tax credits only in exchanges established by the states.


Assuntos
Patient Protection and Affordable Care Act/legislação & jurisprudência , Decisões da Suprema Corte , Trocas de Seguro de Saúde/legislação & jurisprudência , Humanos , Impostos/legislação & jurisprudência , Estados Unidos
2.
Health Matrix Clevel ; 23(1): 119-95, 2013.
Artigo em Inglês | MEDLINE | ID: mdl-23808100

RESUMO

The Patient Protection and Affordable Care Act (PPACA) provides tax credits and subsidies for the purchase of qualifying health insurance plans on state-run insurance exchanges. Contrary to expectations, many states are refusing or otherwise failing to create such exchanges. An Internal Revenue Service (IRS) rule purports to extend these tax credits and subsidies to the purchase of health insurance in federal exchanges created in states without exchanges of their own. This rule lacks statutory authority. The text, structure, and history of the Act show that tax credits and subsidies are not available in federally run exchanges. The IRS rule is contrary to congressional intent and cannot be justified on other legal grounds. Because tax credit eligibility can trigger penalties on employers and individuals, affected parties are likely to have standing to challenge the IRS rule in court.


Assuntos
Órgãos Governamentais/legislação & jurisprudência , Trocas de Seguro de Saúde/legislação & jurisprudência , Patient Protection and Affordable Care Act/legislação & jurisprudência , Impostos/legislação & jurisprudência , Trocas de Seguro de Saúde/economia , Humanos , Estados Unidos
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