The CBO confirms what they’ve already said in the past. However, the SCOTUS ruling has the potential to hurt folks in the red and purple states.
The Congressional Budget Office just published a newly updated estimate of the Affordable Care Act and its impact on the budget. The estimate largely tells us what we already knew: The law, when fully implemented, will dramatically reduce the number of Americans without health insurance. It will also reduce the deficit. […]
But this latest CBO estimate comes with an asterisk previous ones lacked. Thanks to the Supreme Court, states are more likely to opt out of the law’s expansion of Medicaid. The non-participation of some states won’t worsen the budget picture: If anything, the federal deficit should come down even more if some states keep their Medicaid programs as they exist today, with more limited enrollment. But if states don’t participate in the expansion, more Americans will end without health insurance.
So yeah, there it is. You can’t have one thing without the other. So while the SCOTUS decision was a big win for Obama, it might end up being a loss for those in states with legislatures that simply won’t implement the changes. I’m sure Missouri won’t implement them, or Kansas for that matter. But, for me, that won’t matter because my employer provides health insurance, so there will be no change for me.
More as it develops…