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Last active August 29, 2015 14:20
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[
{
"health_care_providers": "The law has spurred structural changes for health providers since 2010, and many of those changes are here to stay even if portions of the law are not. Some hospitals have prepared for more patients by hiring doctors and upgrading computer systems. There would be some uncertainty until it becomes clear how Congress may react.",
"title": "Risk of \"death spiral\" for insurers",
"id": "mandate",
"states": "The state insurance exchanges required by the law rely on the mandate to calculate rates and attract a pool of users. States could choose to enact their own laws that require or encourage residents to buy insurance before they need it.",
"summary": "<P><strong>If the mandate is struck down</strong>, it would be up to Congress to retool the law to ensure the remaining rules don’t trigger a “death spiral” of soaring premiums as all but the sickest flee the market. During oral arguments in March, liberal justices indicated they preferred cutting as little as possible and leaving any necessary changes to Congress.\n</p>",
"people": "People who do not want to buy health insurance would not be penalized if they don’t. Premiums could be higher in the individual market.",
"insurers": "This is a nightmare outcome for insurers, who fear the burden of covering sicker people without a large pool of healthier people to offset the cost.",
"label": "The mandate"
},
{
"health_care_providers": "The law has spurred structural changes for health providers since 2010, and many of those changes are here to stay even if portions of the law are not. Some hospitals have prepared for more patients by hiring doctors and upgrading computer systems. There would be some uncertainty until it becomes clear how Congress may react.",
"title": "Sickest Americans would be at risk",
"id": "mandate_plus",
"states": "The state insurance exchanges required by the law rely on the mandate to calculate rates and attract a pool of users. States could choose to enact their own laws that compel or encourage residents to buy insurance before they need it.",
"summary": "<p><strong>If the mandate and closely related provisions are cut</strong>, the central reforms protecting those with pre-existing conditions would be lost. Remaining provisions in the law would need to be adjusted. The federal government argued for this option if the mandate is struck down. The justices seemed uneasy with too much judicial editing of the law.</p>",
"people": "Many people with serious pre-existing conditions could still have difficulty obtaining or affording coverage. ",
"insurers": "This option would address concerns of the insurers, who say the market reforms are inextricably linked to the mandate and would not work without it.",
"label": "The mandate and discrimination bans"
},
{
"health_care_providers": "This would be disruptive for health care providers, since most have begun to carry out the changes envisioned in the 2010 law.",
"title": "\"Wrecking operation\"",
"id": "entire_law",
"states": "States that have been investing in their exchanges would have to decide whether to continue.",
"summary": "<p><strong>If the entire law is struck down</strong>, Congress would have a “clean slate” to rewrite the law, or do nothing. Patients and the health care industry would face great uncertainty. Some conservative justices indicated during oral arguments that they preferred this option, rather than leaving a hollowed-out law.</p>",
"people": "Popular consumer provisions, such as free preventive care and extended coverage for young adults, would no longer be guaranteed by law. ",
"insurers": "Some large insurers have said they will continue to offer some popular coverage changes already in effect.",
"label": "The entire law"
}
]
[
{
"entire_law": "eliminated",
"text": "Most Americans must have health insurance or pay an annual penalty.",
"title": "Individual mandate",
"title_1": "eliminated",
"sortrow": "1",
"mandate_plus": "eliminated",
"mandate": "eliminated",
"group": "The mandate"
},
{
"entire_law": "eliminated",
"text": "Insurers must accept all applicants, regardless of health.",
"title": "Guaranteed issue",
"title_1": "eliminated",
"sortrow": "2",
"mandate_plus": "eliminated",
"mandate": "jeopardized",
"group": "Bans on discrimination"
},
{
"entire_law": "eliminated",
"text": "Insurers cannot charge different premiums based on health status or demographic characteristics.",
"title": "Community rating",
"title_1": "eliminated",
"sortrow": "3",
"mandate_plus": "eliminated",
"mandate": "jeopardized",
"group": "Bans on discrimination"
},
{
"entire_law": "eliminated",
"text": "This provision was considered separately by the court. It would expand Medicaid to an estimated 16 million low-income Americans.",
"title": "Medicaid expansion",
"title_1": "kept",
"sortrow": "4",
"mandate_plus": "kept",
"mandate": "kept",
"group": "Expanding coverage"
},
{
"entire_law": "eliminated",
"text": "With federal grants, states must build clearinghouses for health insurance options.",
"title": "State exchanges",
"title_1": "eliminated",
"sortrow": "5",
"mandate_plus": "jeopardized",
"mandate": "kept",
"group": "Expanding coverage"
},
{
"entire_law": "eliminated",
"text": "Employers with at least 50 employees must offer group-rate insurance or pay penalties.",
"title": "Employer mandate",
"title_1": "eliminated",
"sortrow": "6",
"mandate_plus": "jeopardized",
"mandate": "kept",
"group": "Expanding coverage"
},
{
"entire_law": "eliminated",
"text": "Insurers must cover children who have a pre-existing condition. A federal program offers coverage until 2014 for some adults who haven\u2019t been insured because of pre-existing conditions. ",
"title": "Pre-existing condition coverage",
"title_1": "eliminated",
"sortrow": "7",
"mandate_plus": "kept",
"mandate": "kept",
"group": "Expanding coverage"
},
{
"entire_law": "eliminated",
"text": "Young adults can stay on their parents' plans until age 26. An estimated 2.5 million people have used this coverage.",
"title": "Coverage for young adults",
"title_1": "eliminated",
"sortrow": "8",
"mandate_plus": "kept",
"mandate": "kept",
"group": "Expanding coverage"
},
{
"entire_law": "eliminated",
"text": "Spans the \u201cdoughnut hole\u201d gap in coverage with rebates and discounts.",
"title": "Medicare prescription drug discounts",
"title_1": "eliminated",
"sortrow": "9",
"mandate_plus": "kept",
"mandate": "kept",
"group": "Expanding coverage"
},
{
"entire_law": "eliminated",
"text": "Insurers cannot stop covering peple who become sick.",
"title": "No rescinding coverage",
"title_1": "eliminated",
"sortrow": "10",
"mandate_plus": "kept",
"mandate": "kept",
"group": "Consumer provisions"
},
{
"entire_law": "eliminated",
"text": "Insurers cannot impose lifetime dollar amounts on coverage.",
"title": "No lifetime limits",
"title_1": "eliminated",
"sortrow": "11",
"mandate_plus": "kept",
"mandate": "kept",
"group": "Consumer provisions"
},
{
"entire_law": "eliminated",
"text": "Insurers must cover some services, including immunizations, contraceptives and mental health screening, without copays or deductibles.",
"title": "Preventive care at no cost",
"title_1": "eliminated",
"sortrow": "12",
"mandate_plus": "kept",
"mandate": "kept",
"group": "Consumer provisions"
},
{
"entire_law": "eliminated",
"text": "Families and individuals with income up to 400 percent of the poverty line get subsidies to help pay for insurance.",
"title": "Tax credits for individuals",
"title_1": "eliminated",
"sortrow": "13",
"mandate_plus": "kept",
"mandate": "kept",
"group": "Other provisions"
},
{
"entire_law": "eliminated",
"text": "Businesses exempt from the employer mandate get assistance in providing insurance.",
"title": "Tax credits for small businesses",
"title_1": "eliminated",
"sortrow": "14",
"mandate_plus": "jeopardized",
"mandate": "kept",
"group": "Other provisions"
},
{
"entire_law": "eliminated",
"text": "Several hundred clinics have received grants for construction projects.",
"title": "Community health centers",
"title_1": "kept",
"sortrow": "15",
"mandate_plus": "kept",
"mandate": "kept",
"group": "Other provisions"
}
]
[
{
"no": "No",
"title": "1. Is it too soon to consider this case? ",
"somewhat": "",
"text": "The Anti-Injunction Act says that taxes cannot be challenged in court until<br>they are first levied. The justices will decide if the health law’s penalties,<br>which will not be due until 2015, can be considered a tax.",
"outcome_title": "Try again later",
"yes": "Yes",
"outcome_text": "The door would be left open for<br />a challenge later on, but the law<br />would continue to go into effect.",
"title_two_lines": "1. Is it too soon to<br>consider this case?"
},
{
"no": "No",
"title": "2. Is the individual mandate constitutional?",
"somewhat": "",
"text": "The mandate requires most people to have health insurance or pay<br>an annual penalty. Opponents of the law say the requirement to buy<br>a product or service is not within the federal government’s powers.",
"outcome_title": "Carry on",
"yes": "Yes",
"outcome_text": "If the mandate is upheld,<br>it will take effect as<br>planned in 2014.",
"title_two_lines": "2. Is the individual<br />mandate constitutional?"
},
{
"no": "All of it",
"title": "3. How much of the law will have to be cut? ",
"somewhat": "Mandate and related provisions",
"text": "Two of the law’s major provisions — health insurers must take all applicants and cannot<br>charge them different rates based on health — rely on the mandate to help offset costs. Congress<br>did not include an explicit “severability” clause in the health law, which is sometimes<br>used to say what parts of a law survive if other parts are found unconstitutional.",
"outcome_title": "",
"yes": "Mandate only",
"outcome_text": "",
"title_two_lines": "3. How much of the law<br />will have to be cut?"
}
]
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