The U.S. Supreme Court’s decision on the Affordable Care Act (ACA or Act) resolves the uncertainty about the constitutionality of the Act. With the exception that states have the option to forgo participation in an expansion of Medicaid without losing existing federal funding, the Court’s 5-4 decision left the ACA intact.
Companies and other organizations now need to know what implementation of the Act means for them.
Perhaps the most important question for any employer is whether they can make employment decisions based on the Act as is or whether repeal or significant modification of the law is likely. Continuing uncertainty about the financial responsibility for healthcare prevents employers from making plans with the confidence they need to invest long term.
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