Decided 6-3 this morning; Scalia, Thomas and Alito dissenting.
The text of the ACA allows for subsidies from the federal government to people who purchase policies through state exchanges. This was specifically crafted this way to try to coerce the states into creating state exchanges, however less than 20 states did so. The feds proceeded to grant subsidies to people in those 30+ states that don't have state exchanges. The subsidies were challenged as illegal and this decision rejects that challenge and allows the subsidies to continue.
A realistic summary of the case from the dissent:
The Act that Congress passed makes tax credits available only on an "Exchange established by the State." This Court, however, concludes that this limitation would prevent the rest of the Act from working as well as hoped. So it rewrites the law to make tax credits available everywhere. We should start calling this law SCOTUScare.


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