Potential Impact of King v. Burwell on the ACA Marketplaces
Hover Over Federally Run Marketplace States for Estimates of Potential Implications of King vs. Burwell Decision
Use this interactive map to review the status of state action on health insurance marketplaces, as well as estimates of the implications of a Supreme Court ruling in favor of King in states with federally run marketplaces.
Legend
- State-run marketplace (13 plus DC)
- State-run marketplace using federal website (3)
- State–federal partnership; state conducting plan management and consumer assistance (7)
- State running small-business marketplace; federal government running individual marketplace (1)
- Federally facilitated marketplace; state conducting plan management (7)
- Federally facilitated marketplace (19)
Alaska
| Number of People Losing Tax Credits | Total Value of Tax Credits & Cost Sharing Reductions Lost (Millions $) |
Increase in the Number of People Uninsured |
| 42,000 | 232.8 | 34,000 |
Alabama
| Number of People Losing Tax Credits | Total Value of Tax Credits & Cost Sharing Reductions Lost (Millions $) |
Increase in the Number of People Uninsured |
| 165,000 | 574.1 | 124,000 |
Arkansas
| Number of People Losing Tax Credits | Total Value of Tax Credits & Cost Sharing Reductions Lost (Millions $) |
Increase in the Number of People Uninsured |
| 128,000 | 418.8 | 95,000 |
Arizona
| Number of People Losing Tax Credits | Total Value of Tax Credits & Cost Sharing Reductions Lost (Millions $) |
Increase in the Number of People Uninsured |
| 266,000 | 456.1 | 237,000 |
California
State-run marketplace
Colorado
State-run marketplace
Connecticut
State-run marketplace
District of Columbia
State-run marketplace
Delaware
| Number of People Losing Tax Credits | Total Value of Tax Credits & Cost Sharing Reductions Lost (Millions $) |
Increase in the Number of People Uninsured |
| 28,000 | 92.4 | 24,000 |
Florida
| Number of People Losing Tax Credits | Total Value of Tax Credits & Cost Sharing Reductions Lost (Millions $) |
Increase in the Number of People Uninsured |
| 1,184,000 | 3891.4 | 1,073,000 |
Georgia
| Number of People Losing Tax Credits | Total Value of Tax Credits & Cost Sharing Reductions Lost (Millions $) |
Increase in the Number of People Uninsured |
| 461,000 | 1,524.9 | 435,000 |
Hawaii
State-run marketplace
Iowa
| Number of People Losing Tax Credits | Total Value of Tax Credits & Cost Sharing Reductions Lost (Millions $) |
Increase in the Number of People Uninsured |
| 98,000 | 289.2 | 90,000 |
Idaho
State-run marketplace
Illinois
| Number of People Losing Tax Credits | Total Value of Tax Credits & Cost Sharing Reductions Lost (Millions $) |
Increase in the Number of People Uninsured |
| 438,000 | 1,089 | 408,000 |
Indiana
| Number of People Losing Tax Credits | Total Value of Tax Credits & Cost Sharing Reductions Lost (Millions $) |
Increase in the Number of People Uninsured |
| 225,000 | 924.5 | 195,000 |
Kansas
| Number of People Losing Tax Credits | Total Value of Tax Credits & Cost Sharing Reductions Lost (Millions $) |
Increase in the Number of People Uninsured |
| 166,000 | 419.0 | 135,000 |
Kentucky
State-run marketplace
Louisiana
| Number of People Losing Tax Credits | Total Value of Tax Credits & Cost Sharing Reductions Lost (Millions $) |
Increase in the Number of People Uninsured |
| 214,000 | 857.4 | 199,000 |
Massachusetts
State-run marketplace
Maryland
State-run marketplace
Maine
| Number of People Losing Tax Credits | Total Value of Tax Credits & Cost Sharing Reductions Lost (Millions $) |
Increase in the Number of People Uninsured |
| 62,000 | 257.0 | 50,000 |
Michigan
| Number of People Losing Tax Credits | Total Value of Tax Credits & Cost Sharing Reductions Lost (Millions $) |
Increase in the Number of People Uninsured |
| 321,000 | 905.8 | 277,000 |
Minnesota
State-run marketplace
Missouri
| Number of People Losing Tax Credits | Total Value of Tax Credits & Cost Sharing Reductions Lost (Millions $) |
Increase in the Number of People Uninsured |
| 299,000 | 1,006.8 | 228,000 |
Mississippi
| Number of People Losing Tax Credits | Total Value of Tax Credits & Cost Sharing Reductions Lost (Millions $) |
Increase in the Number of People Uninsured |
| 147,000 | 568.0 | 137,000 |
Montana
| Number of People Losing Tax Credits | Total Value of Tax Credits & Cost Sharing Reductions Lost (Millions $) |
Increase in the Number of People Uninsured |
| 70,000 | 192.3 | 61,000 |
North Carolina
| Number of People Losing Tax Credits | Total Value of Tax Credits & Cost Sharing Reductions Lost (Millions $) |
Increase in the Number of People Uninsured |
| 465,000 | 1,830.1 | 407,000 |
North Dakota
| Number of People Losing Tax Credits | Total Value of Tax Credits & Cost Sharing Reductions Lost (Millions $) |
Increase in the Number of People Uninsured |
| 39,000 | 122.6 | 29,000 |
Nebraska
| Number of People Losing Tax Credits | Total Value of Tax Credits & Cost Sharing Reductions Lost (Millions $) |
Increase in the Number of People Uninsured |
| 97,000 | 282.3 | 83,000 |
New Hampshire
| Number of People Losing Tax Credits | Total Value of Tax Credits & Cost Sharing Reductions Lost (Millions $) |
Increase in the Number of People Uninsured |
| 44,000 | 116.0 | 37,000 |
New Jersey
| Number of People Losing Tax Credits | Total Value of Tax Credits & Cost Sharing Reductions Lost (Millions $) |
Increase in the Number of People Uninsured |
| 237,000 | 727.6 | 239,000 |
New Mexico
State-run marketplace using the federal website
Nevada
State-run marketplace using the federal website.
New York
State-run marketplace
Ohio
| Number of People Losing Tax Credits | Total Value of Tax Credits & Cost Sharing Reductions Lost (Millions $) |
Increase in the Number of People Uninsured |
| 497,000 | 1,510.1 | 459,000 |
Oklahoma
| Number of People Losing Tax Credits | Total Value of Tax Credits & Cost Sharing Reductions Lost (Millions $) |
Increase in the Number of People Uninsured |
| 208,000 | 516.0 | 153,000 |
Oregon
State-run marketplace using the federal website
Pennsylvania
| Number of People Losing Tax Credits | Total Value of Tax Credits & Cost Sharing Reductions Lost (Millions $) |
Increase in the Number of People Uninsured |
| 414,000 | 1,082.8 | 329,000 |
Rhode Island
State-run marketplace
South Carolina
| Number of People Losing Tax Credits | Total Value of Tax Credits & Cost Sharing Reductions Lost (Millions $) |
Increase in the Number of People Uninsured |
| 241,000 | 766.3 | 192,000 |
South Dakota
| Number of People Losing Tax Credits | Total Value of Tax Credits & Cost Sharing Reductions Lost (Millions $) |
Increase in the Number of People Uninsured |
| 51,000 | 147.1 | 42,000 |
Tennessee
| Number of People Losing Tax Credits | Total Value of Tax Credits & Cost Sharing Reductions Lost (Millions $) |
Increase in the Number of People Uninsured |
| 320,000 | 782.7 | 230,000 |
Texas
| Number of People Losing Tax Credits | Total Value of Tax Credits & Cost Sharing Reductions Lost (Millions $) |
Increase in the Number of People Uninsured |
| 1,566,000 | 4,358.1 | 1,441,000 |
Utah
| Number of People Losing Tax Credits | Total Value of Tax Credits & Cost Sharing Reductions Lost (Millions $) |
Increase in the Number of People Uninsured |
| 162,000 | 361.6 | 97,000 |
Virginia
| Number of People Losing Tax Credits | Total Value of Tax Credits & Cost Sharing Reductions Lost (Millions $) |
Increase in the Number of People Uninsured |
| 321,000 | 1,071.4 | 280,000 |
Vermont
State-run marketplace
Washington
State-run marketplace
Wisconsin
| Number of People Losing Tax Credits | Total Value of Tax Credits & Cost Sharing Reductions Lost (Millions $) |
Increase in the Number of People Uninsured |
| 289,000 | 1,127.9 | 247,000 |
West Virginia
| Number of People Losing Tax Credits | Total Value of Tax Credits & Cost Sharing Reductions Lost (Millions $) |
Increase in the Number of People Uninsured |
| 41,000 | 146.3 | 49,000 |
Wyoming
| Number of People Losing Tax Credits | Total Value of Tax Credits & Cost Sharing Reductions Lost (Millions $) |
Increase in the Number of People Uninsured |
| 40,000 | 216.3 | 37,000 |
*Iowa is responsible for plan management only.
Source: Center on Health Insurance Reforms, Georgetown University Health Policy Institute; Commonwealth Fund analysis.
Source for King vs. Burwell estimates: L. J. Blumberg, M. Buettgens, and J. Holahan, The Implications of a Supreme Court Finding for the Plaintiff in King vs. Burwell: 8.2 Million More Uninsured and 35% Higher Premiums, Urban Institute, January 2015.
