It may be easier than expected for states to save their ObamaCare subsidies, if the Supreme Court rules against the law this month.
Two states — Pennsylvania and Delaware — said this week they would launch their own exchanges, if needed, to keep millions of healthcare dollars flowing after the decision. Both want to use existing pieces of the federal ObamaCare exchange, like its website and call center — a path that would be far less costly than the way most other states have created their exchanges.
If those plans win approval, many of the other 36 states that stand to lose their subsidies could then pursue a similarly simple strategy.
“I think that’s a pretty easy workaround,” Tom Scully, the former director of the Centers for Medicare and Medicaid Services under the Bush administration, said about the two states’ plans.
“The administration has a lot of flexibility, potentially, to define a state exchange,” he added.