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The Patient Protection and Affordable Care Act



Read the Entire Court Ruling

23 Responses

  1. Supreme Court Upholds Healthcare Reform – Affordable Care Act

    On Today, June, 28, 2012, the Supreme Court of the United States (SCOTUS) handed down its highly anticipated decision upholding the 2010 healthcare reform act, the Patient Protection and Affordable Care Act (ACA).

    This opinion addresses two cases and declined to rule on the matter of the individual mandate related to Federal Congressional powers over the states, i.e., the U.S. Constitution’s Commerce and Supremacy Clauses, instead relying on a more narrow interpretation of Federal taxing authority. Touted as the one of the most significant SCOTUS decisions of this century, the Court’s 5 to 4 ruling to uphold the Law will have repercussions throughout the U.S. healthcare delivery system and U.S. political arena.

    Click to access SCOTUS.pdf

    via Ann Miller RN MHA


  2. Supreme Court upholds individual mandate – ACA

    The Supreme Court ruled that the individual mandate survives as a tax under the Patient Protection and Affordable Care Act.

    The entire ACA is upheld, with the exception that the federal government’s power to terminate states’ Medicaid funds under the Medicaid expansion is narrowly read.





    The Supreme Court upheld most of President Barack Obama’s health care law Thursday, ruling that Congress did not overstep its power by requiring nearly all Americans to buy health insurance.

    Chief Justice John Roberts joined with the court’s four liberal justices in the ruling, which says Congress had the authority to impose the law’s individual mandate under Congress’s taxing power.


    There was one rebuke to the Obama administration: The court ruled that the states can reject the law’s Medicaid expansion.

    Dr. Randy Freedman


  4. Supreme Court upholds healthcare reform

    The individual mandate–which requires virtually everyone in the United States to buy health insurance or pay a penalty on their tax returns–is constitutional, the U.S. Supreme Court ruled today.

    In its decision, released shortly after 10 a.m., the Court said that the individual mandate is within Congress’ constitutional authority to levy taxes.

    The decision was five to four, with Justices Sonia Sotomayor, Stephen Breyer, Ruth Bader Ginsburg and Elena Kagan voting with the majority that the Act is constitutional; Chief Justice John Roberts’ fifth vote tipped the decision in favor of the Obama administration.


    So how will today’s decision impact the healthcare industry and the patients they serve?

    Hope Rachel Hetico RN MHA
    [Managing Editor]


  5. As a small business owner, I prepared for this long ago. I have only one employee. The others are employees of a local temporary agency.

    Darrell DK


  6. Health-Care Stock Investors React To Supreme Court Ruling

    Tenet Healthcare Corp. led hospitals and Medicaid insurers higher while commercial health plans fell after the U.S. Supreme Court upheld most of the health-care overhaul today.




  7. How Will Health Care Ruling Impact Financial Advisors?

    The Supreme Court’s decision to uphold the health care overhaul could have a broad impact on wealthy investors’ wallets with a new 3.8% increase on investment income. The increase, which is one of the bill’s funding mechanisms, is set to take effect in January 2013.

    “The top rate on long-term gains is 15%. Next year, we know it’s going to go up by at least 3.8%,” says Tim Steffen, director of financial planning at R.W. Baird. “For higher income individuals and couples, their investments just became more expensive.”


    A Financial Advisor


  8. The SCOTUS Decision – Right or Wrong?
    [A Point versus Counter-Point Debate]

    PRO: http://wingofzock.org/2012/06/28/pointcounterpoint-two-views-on-the-scotus-affordable-care-act-ruling/

    CON: http://wingofzock.org/2012/06/28/1166/


    Dr. David Edward Marcinko MBA


  9. How The Supreme Court Ruling Affects Patients

    OK ME-P. We’ve discussed how the SCOTUS ruling affects doctors, hospitals, investors and FAs; all your target audience.

    But, what about the patients – the true target?
    Here are some video highlights:


    Remember that while the political fighting commences, the more important issue is how the ruling affect patients.



  10. So – Who really benefits from the health care ruling?

    Here are likely consequences for 5 key groups from the Supreme Court’s Affordable Care Act decision.


    The ruling will impact 2 of those groups more than the others.



  11. How Will Health Care Ruling Impact Financial Advisors and us All?

    The Supreme Court’s decision upholding the ACA is deliciously ironic.

    The “individual mandate”–an idea promoted for everyone in the 90s and for Massachusetts in the 2000s by the arm of the Republican party known as the Heritage Foundation–was found to be legal.

    But, not as a mandate, instead as a tax. And, will this tax change physician-investor psychology?

    Dr. David Edward Marcinko MBA CMP™


  12. OH Podiatrist Comments on Supreme Court Decision on Affordable Care Act

    Doctor and candidate for Congress, Brad Wenstrup, released the following statement on the Supreme Court ruling on Obamacare.

    “The Supreme Court’s decision is a disappointment, and an insult to the large majority of Ohioans who opposed Obamacare by their vote for Issue 3 last year. Despite the disappointment, the decision shouldn’t be a period at the end of the healthcare debate, but rather a comma that allows us to pivot towards further common sense reform. We must continue our efforts to repeal and replace this massive government expansion and tax increase.

    That’s why I’ll push for patient-centered solutions like tort reform, health insurance portability, the promotion of health savings accounts, and allowing individuals and groups to combine and purchase insurance together. And I’ll fight to protect the doctor-patient relationship, because doctors – not bureaucrats – know what’s best for their patients.”

    Source: PMNews #4,502


  13. No Need to Panic Over Healthcare Ruling Tax Hike

    Dr. Marcinko and readers – The US Supreme Court decision to uphold the constitutionality of President Obama’s healthcare reform legislation also makes final, at least for now, a provision to raise taxes on dividends.

    Here’s what investors need to know.




  14. Taxes and the ACA SCOTUS Decision

    The taxes to pay for the ACA include a new tax on medical devices that will increase costs to individuals and healthcare providers. There also is a new 3.8% Medicare tax. It applies in 2013 to income and capital gains.

    If the expected post-election tax bill extends the current 15% capital gain rate, then the capital gains tax rate will be 18.8% in 2013.

    However, if the 15% federal capital gains tax rate is increased to 20%, then the new rate in January of 2013 will be 23.8%.

    The increase in capital gains rate may also influence charitable gifts of appreciated property in 2013.

    Dr. David Edward Marcinko FACFAS MBA CMP™


  15. Dr. Marcinko

    Paying the mandated ACA tax [penalty] is the best deal in town. Business can drop out for a small tax and patient can refuse insurance until needed.

    So, of course, the calls are already coming in to increase the tax.



  16. George

    States can opt out of the Medicaid programs and the HIEs.
    The Feds cannot force inclusion but will pay for it.
    This will lead to a national Medicaid program.
    Just what Dr. Obama ordered.



  17. CA Podiatrist Comments on Supreme Court Decision on Affordable Care Act

    Dr. Lee Rogers, candidate for U.S. Congress, released the following statement on the Supreme Court’s decision to uphold the Patient Protection and Affordable Care Act: “Today’s Supreme Court decision is bittersweet. The Supreme Court upheld the Patient Protection and Affordable Care Act in its entirety, including the controversial individual mandate to purchase health insurance.

    “The good news is that people who have already benefited from the law will continue to benefit. But the bad news is that the law still needs to be fixed. No law is perfect, but this one benefits the big health insurance companies like no other. The law prevents insurers from denying coverage for pre-existing conditions, but it doesn’t put a cap on premiums. Although you can’t be denied coverage, you can still be priced out of the market, essentially accomplishing the same thing. Going forward, we need to have at least one option for patients that insurance companies don’t control.”

    Source: The Santa Clarita Valley Signal [6/28/12]
    via PMNews #4,502


  18. Evolving Taxation

    Right now, the Medicare tax on salary and/or self-employment income is 2.9%. If you’re an employee, 1.45% is withheld from your paychecks, and the other 1.45% is paid by your employer. If you’re self-employed, you pay the whole 2.9% yourself.

    Starting in 2013, an extra 0.9% Medicare tax will be charged on: (1) salary and/or self-employment income above $200,000 for an unmarried individual, (2) combined salary and/or self-employment income above $250,000 for a married couple that files jointly, and (3) salary and/or self-employment income above $125,000 for those who use married filing separate status.

    For self-employed individuals, and medical professionals, the additional 0.9% Medicare tax hit will come in the form of a higher self-employment bill.

    Dr. David Edward Marcinko MBA CMP™


  19. Some Physician Effects of the Supreme Court Decision

    The US Supreme Court’s landmark decision to uphold the Affordable Care Act (ACA) and its individual mandate is likely to have far-reaching effects on US physicians. Some likely effects:

    •Ease financial pressure on physicians who serve uninsured and lower-income patients

    •Calm political and economic anxiety among the broader population of physicians that might otherwise have given them second thoughts about undertaking difficult and costly practice transformations to better coordinate care for patients

    •Encourage medical students to choose primary care specialties, given that the high rate of uninsured patients affects primary care physicians more directly than subspecialists.

    Dr. Marcinko – The effect of the ruling on physicians in private practice overall is likely to be marginal because most such physicians do not serve a significant number of uninsured patients.

    The bigger impact is likely to be on safety-net providers, including hospital emergency departments.

    Dr. Jameson Sherlock


  20. Affordable Care Act means $1.1 billion insurance rebate

    The nation’s health insurance companies will refund approximately $1.1 billion dollars to their customers this summer.


    It’s one of the new benefits of the health care reform law.



  21. Congress Comments on Healthcare

    Following the Supreme Court decision that upheld most provisions of PPACA, both House and Senate leaders commented. House Minority Leader Nancy Pelosi (D-CA) was Speaker of the House when the Affordable Care Act passed.

    She stated, “I always had confidence that the Chief Justice would be consistent with the views that he has expressed before.” In the opinion of Leader Pelosi, the 5-4 Supreme Court vote is a “total victory for the American people.”

    Sen. Olympia J. Snowe (R-ME) has been a long-time leader in the Senate on healthcare policy.

    Sen. Snowe stated, “Regrettably, today’s Supreme Court decision was a victory for a massive legislative overreach, broad and expansive government, and its power to tax.”

    She was concerned that the $210 billion Medicare tax increase and the requirement that all companies with 50 or more employees offer health insurance or face penalties would harm employment. Snowe expressed hope that regulations would soon be published that explain the PPACA costs for premiums, co-payments and deductibles.

    Speaker of the House John Boehner (R-OH) noted that PPACA is “driving up the cost of healthcare and making it more difficult for employers to hire new workers.” He promised a second vote on repeal of PPACA in the House. The Act was previously repealed by the House in January 2011. That bill was not taken up by the Senate. It is expected that a second repeal bill will also not receive favorable action from the Senate or the White House.

    Editor’s Note: Your editor and this organization do not take a specific position on any of the above comments. We offer this explanation of PPACA as a service to our readers because healthcare affects all Americans.

    Dr. David Edward Marcinko MBA CMP™


  22. Gife me a [tax] break

    President Barack Obama just called for a one-year extension of Bush-era tax cuts for families earning less than $250,000 a year seeking to spare the economy the impact of taxes going up on January 1st, 2013.




  23. PP-ACA

    The excitement over the recent SC ruling on the ACA and the speculations over how the future will play out with health care reform still does not address two major concerns of most physicians: Meaningful Use (MU) incentive payments (as established by the HITECH Act, part of the ARRA of 2009) and Tort Reform.

    Physicians will no doubt become resigned to accept the unrelenting regulatory forces in play (MU as one of those transformations) in the current healthcare environment and the ensuing higher operating costs of a medical practice in spite of a weak economy. Tort reform however is a politically contentious issue typically pitting physicians against powerful forces and lobby groups and “concerned” citizens with progress being made slowly state by state.

    This issue however I believe will eventually be corrected by market forces. Many physicians are voting with their feet in states that allow frivolous lawsuits and unchecked damages awards. If you are an Internist in Florida paying the average $47,731 for your malpractice premium when you could be an internist in California paying $ 3,988 for the same coverage, would that be enough to entice you to move? Maybe!


    David K. Luke MIM
    CMP™ candidate


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