Supreme Court upheld ACA allows 800,000 Texans to keep annual tax credits

A sigh of relief with King v Burwell Decision

More than 1.2 million Texans are enrolled in a health plan through the federal marketplace—that’s more than the residents in any other state. This means that Texans had the most to lose if the U.S. Supreme Court had not upheld the legality of the Affordable Care Act’s financial assistance in last week’s King v Burwell decision (PDF).

An estimated 832,000 Texans were at risk of losing annual subsidies of nearly $2.5 billion. Nearly one-third of these eligible Texans live in the North Texas area of Dallas, Tarrant, Denton and Collin counties.

Seeing the rate of uninsured Texans drop 8 percentage points in less than two years has been an area of aid for local hospitals. However, Texas remains the state with the highest percentage of uninsured people, and for the first time, the state has the largest raw number of uninsured residents in the country. Taking subsidies away from newly insured Texans would have put this pressure back on our health systems and had an immediate impact on local hospitals, potentially adding nearly $1.5 billion to the already high cost of uncompensated care that Texas hospitals support.

While this ruling has a national influence, I see this as a win for Texas. It is good for Texas hospitals, Texas health insurers and Texas residents. At Baylor Scott & White Health, we are continually focused on providing better health care for the patient. This ruling relieves some of the financial burden on Texas hospitals and gives them the capacity to focus on innovations that improve medicine and build a better model of care delivery. Extending the subsidies also allows nearly all of the Texans who bought policies on the exchange the ability to afford the insurance needed for them to receive preventive care, rather than experiencing a delay or omitting care completely. The toll on the health of Americans, especially those with low incomes, would have been incalculable with a ruling against the federal government.

We look forward to a day when Texas can shed its reputation of having the highest uninsured rate. This is a step in the right direction. Until all Texans have access to affordable and comprehensive health insurance, as well as access to safe, quality care, Baylor Scott & White will continue to seek new ways to serve the uninsured in our communities.

About the author

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Joel Allison is a special advisor to the chairman of the Baylor Scott & White Holdings Board of Trustees. He was previously president and CEO of Baylor Scott & White Health. He's been a leader in the health care industry for more than four decades, and he's been on Modern Healthcare magazine’s annual “100 Most Influential People in Healthcare” list since 2004. He's a huge Baylor Bears fan, a fisherman and a proud grandfather of six.

2 thoughts on “A sigh of relief with King v Burwell Decision”

  1. Wesley, we take patient feedback seriously and would like to find out more information about your experience. I will contact you directly via email to see if I can be of further assistance. Thanks.

  2. Those of us with insurance still get stuck with a $4000 invoice for the worst hospital stay ever. (Grapevine in 2014). The uninsured get free healthcare from Baylor. Meanwhile, my insurance has paid Baylor about $500,000 on my behalf in the last 3 and 1/2 years. Baylor Plano received over $400,000 from my insurance company in 2012. Yet Baylor still wants me to pay the $4,000 “balance” remaining from my week long hospital stay and testing from 2014. I insisted for two days that the doctors run a pancreas scan and was told “There’s nothing wrong with your pancreas.” Lo and behold, when I wasn’t getting better and had spent 2 miserable days in the hospital, they finally ran tests! Guess what…my pancreas is quote “unrecognizeable”, is shriveled up and has a blocked duct. I am very disappointed with my care at Baylor Grapevine.

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A sigh of relief with King v Burwell Decision