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The Council of State Governments

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June 27, 2012


Supreme Court, Health Care Reform and the States

CSG Webinar will Explore Affordable Care Act Ruling's Impact on States

LEXINGTON, Ky.—The Supreme Court decision on federal health care reform, known as the Affordable Care Act, will carry with it implications for state governments.
If the law is upheld, states will need to move forward on health insurance exchanges, which are required to be in place by Jan. 1, 2014. In addition, states would need to prepare for expansion of Medicaid programs. If it is struck down in its entirety, states would still need to decide whether to keep in place insurance reforms that have already begun. If it is partially struck down, states would need to move forward with the parts of the law that remain in place. The Court is expected to rule on the case Thursday, June 28.

Lisa Soronen, executive director of the State and Local Legal Center, will discuss the extent of the Court’s decision and its impact on the individual mandate, health insurance exchanges and Medicaid expansion requirements, and what it will mean to states during a webinar 10 a.m. EDT Friday, June 29. The Council of State Governments is hosting Soronen’s discussion as part of its Medicaid Policy Academy in Washington, D.C.

“Whatever the Supreme Court rules, states will be affected,” said David Adkins, CSG’s executive director/CEO. “Many states have already begun implementing parts of the act through insurance reforms. Policymakers will need to decide whether to keep or repeal those reforms if the law is struck down in its entirety.

“If the law is upheld, states could be responsible for some of the added costs to expand Medicaid programs. States also will need to continue to build health insurance exchanges if the law is upheld,” Adkins said. “We know this is an important issue for state policymakers because of the wide range of implications the Court’s ruling will have for them.”

The webinar is open to the press. Register here.



The Council of State Governments is our nation’s only organization serving all three branches of state government. CSG is a region-based forum that fosters the exchange of insights and ideas to help state officials shape public policy. This offers unparalleled regional, national and international opportunities to network, develop leaders, collaborate and create problem-solving partnerships.