Supreme Court Protects Coverage, Avoids Crisis for State Insurance Markets

The following is a statement from NASHP Executive Director Trish Riley regarding the Supreme Court decision on King v. Burwell.

“With their decision today, the Supreme Court has protected coverage for 6.4 million Americans and avoided a crisis for states and their insurance markets, had the insurance subsidies been eliminated. The Court recognized the ACA was built on a state foundation and reaffirms whether a state chooses to establish a state exchange or not, affordable health coverage remains accessible for its residents.

The wait and see period is over and now states can move forward. Leaders in the 34 states that rely on the FFM can examine and improve coordination between their Medicaid and CHIP programs and the FFM to ensure a seamless coverage experience; consider ways to make coverage more affordable in their markets; design new exchange models to offer states more flexible roles; and carefully review opportunities to seek significant waivers in 2017 that will allow for more state experimentation in providing affordable, quality coverage.

The National Academy for State Health Policy (NASHP) looks forward to working with states as they continue their ACA implementation journey, post-King. We will be convening state health policy leaders in early July to discuss next steps and will release a summary of those discussions to inform the broader policy community later this summer.“

In addition to Trish Riley, two of our state health policy leaders are available for media interviews to discuss the case and next steps:

  • Carrie Banahan, Executive Director, Office of the Kentucky Health Benefits Exchange
  • Peter Lee, Executive Director of the California Health Benefit Exchange

To schedule an interview please contact Lesa Rair, 202-903-2785 or

The National Academy for State Health Policy (NASHP) is an independent academy of state health policymakers who are dedicated to helping states achieve excellence in health policy and practice. A non-profit and non-partisan organization, NASHP provides a forum for constructive work across branches and agencies of state government on critical health policy issues.