UPDATE: In a 6 – 3 decision, the Court ruled in King v. Burwell that the law allows the federal government to provide tax credits to offset the cost of insurance purchased from the federally-facilitated health insurance Marketplaces—a core aspect of the ACA.
King v. Burwell is a Supreme Court case that challenges the Affordable Care Act (ACA). The case focuses on the financial help, in the form of tax credits, provided to low and moderate-income individuals and their families — the majority of whom are women — to make monthly health insurance premiums more affordable. The Court will determine whether individuals and families will continue to receive these tax credits to help purchase insurance in the federally-facilitated health insurance Marketplaces.
Nearly 4.8 million women enrolled in insurance through the federally-facilitated health insurance Marketplaces. But, many more women are eligible to enroll. The map below shows how many women in the 37 states with a federally-facilitated Marketplace are eligible for tax credits to help them purchase affordable, comprehensive health insurance; the data also highlight the number of women of color affected in each state. Based on this analysis, we find that nearly seven million women — fifty percent of whom are women of color — are at risk of losing access to the financial help they need to afford health insurance coverage.
The data is drawn from the U.S. Census Bureau’s 2008-2012 American Community Survey five-year sample and the University of Minnesota’s Integrated Public Use Microdata Series. The data include uninsured adult women (age 18–64) with income between 100-400% of the federal poverty level living in states that have not expanded Medicaid eligibility and women between 138-400% of the federal poverty level in states that have expanded their Medicaid programs. This is an approximation for eligibility; the estimates do not account for women’s immigration status, women who have an offer of coverage through their employer, or women who have an offer through their spouse’s employer but remain uninsured.
- NWLC King v. Burwell Amicus Brief
- Factsheet: King v. Burwell Places Women’s Health at Risk
- Blog Post: Seven Million Reasons to Worry about King v. Burwell
- Blog Post: What Are They Thinking? Six States Argue Against Financial Assistance in King v. Burwell—Threatening Nearly 1 Million Women