The U.S. Supreme Court ruling on the constitutionality of the Patient Protection and Affordable Care Act (PPACA) should make some states lean more toward getting exchange services from the federal government.
Analysts at the in-house government affairs and human and social services think tanks at KPMG L.L.P., Wilmington, Del., make that argument in a brief on the possible impact of the PPACA ruling.
Members of the court ruled 5-4 that Congress has the authority to impose a tax on residents who fail to buy health insurance.
The court ruled, however, that Congress has no authority to reduce existing Medicaid funding to make states expand their Medicaid programs to provide coverage for all residents who earn less than 133% of the federal poverty level.
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Officials in some states say they will try to expand Medicaid access despite the ruling, but officials in other states have said they will continue to do everything they can to block PPPACA implementation, including implementation of the Medicaid expansion provisions.