Entire ACA upheld by Supreme Court

[MaTH716]

Originally Posted by Danzig

supposedly illegals won't be covered. one of the systems exchanges will have to be linked to is INS-in order to make sure anyone applying is here legally.
the state exchanges will also have to be linked in with the irs, because premiums, stop losses, etc will be determined by last years income. but keep in mind, things don't always start and end on 12/31/20--, so when someone turns a year older, or if you divorce during the year, or there are other changes, then when you file your taxes, you have to pay back any overpayments of premium subsidies.
speaking of subsidies, a family of four with almost 70k in income will receive subsidies to help pay for their health care. their deductibles and stop losses also will be 'subsidized'. now, in ny city, i can see why that would need subsidized...here in arkansas, where the cost of living is incredibly low-that's a joke. that's damn good money around here. which is exactly why the levels should be handled on a state by state basis, not on federal poverty levels. what pays in many areas doesn't in others. how's it feel to know you'll be helping to pay for insurance for someone well in the top 10% of income in this state??? give you a warm, fuzzy feeling?

Thanks for answering Dani.

[Danzig]

another question....

can anyone tell me of any existing tax that is levied for not doing something? not buying, not selling, not owning, not working? not partaking in any way, so you pay for non-participation?
i opted to remain on a well, rather than tie into city/county water. wonder how long before they figure this one out and start billing??

[Riot]

http://taxfoundation.org/article/how...-bill-financed



Update: Per the suggestion of Washington Post writer Ezra Klein, we have posted more detail pertaining to what is in some of the larger categories in the pie chart above.

Main Components in Net Cuts to Medicare ($416.5 billion)

Reductions in annual updates to Medicare FFS payment rates = $196 billion cut
Medicare Advantage rates based upon fee-for-service rates = $136 billion cut
Medicare Part D "donut hole" fix = $42.6 billion increase
Payment Adjustments for Home Health Care = $39.7 billion cut
Medicare Disproportionate Share Hospital (DSH) Payments = $22.1 billion cut
Revision to the Medicare Improvement Fund = $20.7 billion cut
Reducing Part D Premium Subsidy for High-Income Beneficiaries = $10.7 billion cut
Interactions between Medicare programs = $29.1 billion cut

Main Components in Other Provisions ($149 billion)

Associated effects of coverage provisions on revenues = $46 billion
Exclusion of unprocessed fuels from the cellulosic biofuel producer credit = $23.6 billion
Require information reporting on payments to corporations = $17.1 billion
Raise 7.5% AGI floor on medical expenses deduction to 10% = $15.2 billion
Limitations to the use of HSAs, MSAs, FSAs, etc. = $19.4 billion

Other Net Spending Cuts ($52 billion)

Education reforms = $19 billion cut, which is the difference between approximately $58 billion in spending reductions via reform of the student loan program and approximately $39 billion in greater spending on higher education programs, most notably Pell Grants
Community Living Assistance Services and Supports = $70 billion in cuts
Category is netted lower by increases in other health programs such as public health programs and spending on community health centers

[Honu]

On of one of those articles Riot posted I answered the health care questions and found out the ACA doesnt do anything at all for me and my partner. Our combined income puts us about 2k into another bracket. Unless the Feds wont consider our household income as combined because they dont consider our domestic partnership as valid, which they must because the IRS taxed us for the first time as combined income because Ca. is a community property state, which in my opinon is b ulls hit in light of the fact that they wont let my partner have my SS bennies when I die. Lucky I have insurance thru my gf's job. When I had my ACL transplant last year the hospital actualy gave me a discount for having insurance

[Danzig]

another question...

if i don't put my 22 year old daughter back on my health policy, do i get a fine? or does she?

[Riot]

Originally Posted by Danzig

another question...

if i don't put my 22 year old daughter back on my health policy, do i get a fine? or does she?

I know it has only been two years since this law was passed and has been in effect, but there always has been an excellent website for all your repeated - and repeated, and repeated, and repeated - questions and concerns, Danzig.

www.healthcare.gov

[Riot]

Originally Posted by Honu

On of one of those articles Riot posted I answered the health care questions and found out the ACA doesnt do anything at all for me and my partner.

It may not give you financial subsidies, but yes, you both get all the consumer protection benefits: no lifetime cap, no kicking you off when you get sick, etc.

And, in 2014 when the state exchanges are up, you'll have other options for purchasing competitively-priced health care from competitive providers

Just "wow" on the nonsense you have to put up with, tax-wise, with your household. That needs to be fixed, too.

You got a discount for having your ACL done with insurance. That's great. My insurance company approved payment for my operation to the hospital, then 6 months later decided not to pay. I had to pay "full price", no discounts, out of pocket. That practice is now illegal with the ACA. For you and I, and your partner. Thank god.

[Honu]

Originally Posted by Riot

It may not give you financial subsidies, but yes, you both get all the consumer protection benefits: no lifetime cap, no kicking you off when you get sick, etc.

And, in 2014 when the state exchanges are up, you'll have other options for purchasing competitively-priced health care from competitive providers

Just "wow" on the nonsense you have to put up with, tax-wise, with your household. That needs to be fixed, too.

You got a discount for having your ACL done with insurance. That's great. My insurance company approved payment for my operation to the hospital, then 6 months later decided not to pay. I had to pay "full price", no discounts, out of pocket. That practice is now illegal with the ACA. For you and I, and your partner. Thank god.

There are good parts and bad parts to the heath reform, the good is obvious, the bad to me is the federal government forcing people to buy a product or pay a fine. Its not right. I see alot of people refusing to buy or pay the fine on principle alone which I support. They, the feds, in my opinon have overstepped what Ill feel comfortable with as far as the government is concerned. We the people should be able to decide if we want to participate in the program or not. It is opening up a whole new can worms when it comes to laws taxes and fines and what the feds can do with their power.

[Riot]

Originally Posted by Honu

There are good parts and bad parts to the heath reform, the good is obvious, the bad to me is the federal government forcing people to buy a product or pay a fine.

The Supreme Court reiterated today, in the decision, that people do not have to purchase the product, and can choose not to pay the fine.

[Honu]

Originally Posted by Riot

The Supreme Court reiterated today, in the decision, that people do not have to purchase the product, and can choose not to pay the fine.

So that wording will be removed?

[Riot]

Originally Posted by Honu

So that wording will be removed?

No. Just like taxes, you can choose not to follow the law. The Supreme Court said today that people are free to choose not to purchase, and not to pay the fine, either. But of course, like income taxes, they would still be subject to a penalty.

Although penalties are assessed, there is nothing currently in place to allow collection any of the penalties at this time. The IRS is forbidden from trying to collect them. That has to be initiated by removing some wording in the law by Congress.

It is anticipated that more people will want health insurance at a rate they can afford, even if they don't make much money, than choose to be without it. That's why the exchanges exist, so prices to purchase drop.

So the law is designed to "wait and see" how many non-compliant people turn up, before any punishment is initiated.

Practically speaking, from that "what would it mean for you" web page page:http://www.washingtonpost.com/wp-srv...u/struck-down/

Single make $35,000/year: If you do not obtain insurance coverage by 2014 you will be assessed a tax penalty. The penalty becomes progressively greater from 2014 through 2016, when it reaches full strength. At that point, assuming your current income remains the same and your household consists of 1 uninsured adult, you would be subject to a penalty of about $695. You are exempt from the penalty if the least expensive plan option in your area exceeds eight percent of your income.

That last sentence is for people that earn too much to qualify for any federal assistance, but any insurance would be greater than 8% of income. For example, you make $75,000 a year, and can't find insurance for less than $500 a month. You don't have to pay any penalty.

Did you try entering yourself and your partner separately (unmarried) to see what each of you are eligible for?

[Clip-Clop]

Originally Posted by Riot

The Supreme Court reiterated today, in the decision, that people do not have to purchase the product, and can choose not to pay the fine.

Sounds like a mandate to me...if you don't have to purcahse the product or pay the fine then how is it mandatory?

[Danzig]

Originally Posted by Clip-Clop

Sounds like a mandate to me:zz:...if you don't have to purcahse the product or pay the fine then how is it mandatory?

if they can't fine...er, tax, then there's no mandate. it would still blow up the whole package. that was why the health providers went for this plan, it makes people buy it.
the only way, from what i've read, to keep from paying the fine is if the coverage price exceeds a set percentage of your income. but with subsidies being what they are, i don't see how that could occur.

[Riot]

Originally Posted by Clip-Clop

Sounds like a mandate to me...if you don't have to purcahse the product or pay the fine then how is it mandatory?

If too many people (so it affects the pricing) choose to defy the law, then the Congress can insert collection language regarding the penalty so it will stick.

Kinda silly decision for folks to make, when the choice is

a) affordable comprehensive health care, you pay according to your income level

b) no health care

[Danzig]

Originally Posted by Honu

There are good parts and bad parts to the heath reform, the good is obvious, the bad to me is the federal government forcing people to buy a product or pay a fine. Its not right. I see alot of people refusing to buy or pay the fine on principle alone which I support. They, the feds, in my opinon have overstepped what Ill feel comfortable with as far as the government is concerned. We the people should be able to decide if we want to participate in the program or not. It is opening up a whole new can worms when it comes to laws taxes and fines and what the feds can do with their power.

it's funny to me that the first thing that happened after the ruling is that shares in health care providers all went up in price.

and when kids turn 26, then what? a guy who works at the wellness center just turned 26, so he currently doesn't have insurance.

it's not a tax, obama said so. but it is a tax, roberts said so. on something you don't get. i guess it's an un-tax.
i wonder what marshall would say.

[Riot]

"It's okay for the GOP to start pretending that they like Romneycare now"
- JUSTICE JOHN ROBERTS

"ITS INTERNATIONAL ALL-CAPS DAY ON RIGHT-WING BLOGS!!!!!!"

"The votes are in - I still have insurance!" - unemployed college-educated 22-year-old still on parents insurance

"BREAKING: Conservatives planning to leave U.S., but can't find wealthy Western democracy without universal health care"

"The Onion ‏@TheOnion
Commentary: I Don't Want Health Care If Just Anyone Can Have It"

"The Onion@TheOnion
Republicans, leukemia team up to repeal health care law"

"LOLGOP ‏@LOLGOP
Scalia points out that slaves didn't get health care and rarely complained, as far as he can tell"

And, for extra fun, video of CNN and Fox News, who both initially wrongly reported the Supreme Court decision http://core.talkingpointsmemo.com/tv...-on-aca-ruling