King v. Burwell: Desperately Seeking Ambiguity in Clear Statutory Text

J Health Polit Policy Law. 2015 Jun;40(3):577-88. doi: 10.1215/03616878-2867869. Epub 2014 Nov 25.

Abstract

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.

Keywords: ACA; Affordable Care Act; Chevron deference; King v. Burwell; administrative law; statutory interpretation.

MeSH terms

  • Health Insurance Exchanges / legislation & jurisprudence
  • Humans
  • Patient Protection and Affordable Care Act / legislation & jurisprudence*
  • Supreme Court Decisions*
  • Taxes / legislation & jurisprudence
  • United States