By Sean Davis
Wednesday, July 23, 2014
Words mean things.
That was the message delivered by the D.C. Circuit Court
of Appeals in yesterday’s Halbig opinion. At issue was whether Obamacare
required federal health insurance subsidies to be limited only to plans
purchased via a state-based health exchange. To date, only 14 states (plus
Washington, DC) have established state exchanges; the federal government
established and is operating the exchange used by residents of the other 36
states. In May of 2012, the Internal Revenue Service (IRS) issued a rule
stating that the subsidies would be available even if they would be applied to
a plan purchased via the federal health exchange.
The panel that issued yesterday’s Halbig decision ruled
that the text of the Affordable Care Act, also known as Obamacare, was
unambiguous: subsidies in the form of tax credits could only be provided to
offset the costs of plans purchased via a state exchange. Obamacare’s
supporters immediately reacted with outrage, but they couldn’t quite settle on
what, exactly, was outrageous. Some argued that the text of the law clearly
permitted subsidies to flow to those who purchased plans on the federal
exchange—this was the argument offered by the government in court. Others
argued that while the text didn’t technically permit those subsidies, that was
clearly the intent of the the law, and any textual omission was surely due to a
“drafting error.”
That’s right: a drafting error.
Let’s take a step back to see how plausible that
explanation is. There are two types of exchanges: state-established, and
federally established. The statutory authority for state-based exchanges comes
in section 1311 of Obamacare. The statutory authority for a federal exchange in
the event that a state chose not to establish one comes from section 1321(c) of
Obamacare. Right off the bat, we have two discrete sections pertaining to two
discrete types of health exchange. Was that a “drafting error”?
Then we have the specific construction of section
1321(c), which allows for the creation of a federal exchange. Nowhere does this
section say that an exchange created under its authority will have the same
treatment as a state-based exchange created under section 1311. At no point
does it say that section 1321 plans are equivalent. Why, it’s almost as though
the exchanges and the plans offered by them were not intended to receive the
same treatment. Was that another “drafting error”?
Most important, we have the sections of the law providing
for tax credits to help offset the cost of Obamacare’s health care plans:
sections 1401, 1402, 1411, 1412, 1413, 1414, and 1415. And how do those
sections establish authority to provide those tax credits? Why, they
specifically state ten separate times that tax credits are available to offset
the costs of state health exchange plans authorized by section 1311. And how
many times are section 1321 federal exchange plans mentioned? Zero. Was that
yet another “drafting error”?
The specific phrase “established by the State under
section 1311″ can be found twice in the tax credit title of Obamacare. The
first instances relates to the size and the second to the scope of the tax
credit subsidy. How many times is the phrase “established by the Federal
government/Secretary under section 1321″ found? Zero. Was that also a “drafting
error”?
When I worked in the Senate, I spent countless hours
reading through various appropriation and spending bills. I also drafted
hundreds of amendments, as well as a standalone public law. During the years I
spent reading through proposed legislation, it was not uncommon to find obvious
errors in bills and amendments. Sometimes you would see a date written as 3015
instead of 2015. Sometimes a non-existent section would be referenced, or a
section number in a table of contents might be wrong. Other times, you might
see a dollar figure that had too few or too many zeroes (seriously, that
happened). You might even find a misspelled word or an incorrect line number
every now and again. Those were true “drafting errors,” the typos of the
legislative world.
The deliberate creation of a separate section to
authorize a separate federal entity is not a drafting error. The repeated and
deliberate reference to one section but not another is not a drafting error.
The refusal to grant equal authority to two programs authorized by two separate
sections is not a drafting error. The decision to specifically reference
section X but not section Y in a portion of a law that grants spending or tax
authority is not a drafting error.
The clear text of the law repeatedly demonstrates that
plans purchased via federal exchanges were never meant to be treated the same
as plans purchased by state-based exchanges. Despite its assertions, the IRS
was never granted the statutory authority to hand out tax credits related to
plans purchased via a federal health exchange.
All of that of course begs the question: if the law’s
authors originally intended to constrain subsidies to state plans, what was the
rationale for the IRS about-face in 2011? That’s actually an easy one to
answer: the administration never imagined that so many states would refuse to
establish Obamacare exchanges. The subsidies for state exchange plans were
meant to be pot sweeteners—incentives for states to set up their own exchanges.
If fines for mandate non-compliance were Obamacare’s stick, the subsidies for
state exchange health plans were the carrot. To the law’s backers, that plan
made sense: the White House didn’t really want to have to manage 51 separate
exchanges. They wanted the states to do all the heavy lifting. Unfortunately,
several dozen legislatures and governors had different plans.
When I witnessed drafting errors that went uncorrected
and ended up being codified in law, I saw the same behavior over and over
again: recognition of the error, followed by an immediate attempt to correct
it. Usually the corrections were done via an uncontroversial “technical
corrections” bill. They were almost always drafted and passed within a couple
of days or weeks of the original law’s passage. But that’s not what we saw with
this alleged “drafting error.” No attempt was made to rectify the alleged
“error.”
The timeline tells it all. Obamacare was signed into law
in March of 2010. It wasn’t until August of 2011 that the IRS decided to make
tax credit subsidies available to plans purchased on federal exchanges. That’s
a span of 16 months—an awfully long time to recognize and address a “drafting
error.” Furthermore, actual “drafting errors” have to be corrected by new laws,
not by executive fiat. Even when they are plainly obvious to everyone who sees
them, that 3015 that should’ve been 2015 still has to be amended via a new law:
passed by both Houses, and signed by the president. Yet, that’s not what this
administration did.
In its May 2012 announcement of its official new rule
which suddenly allowed subsidies to flow to federal exchange plans, the IRS
never claimed it was a drafting error. It claimed the opposite: that the text
clearly endorsed the IRS interpretation:
The statutory language of section 36B and other provisions of the Affordable Care Act support the interpretation that credits are available to taxpayers who obtain coverage through a State Exchange, regional Exchange, subsidiary Exchange, and the Federally-facilitated Exchange.Moreover, the relevant legislative history does not demonstrate that Congress intended to limit the premium tax credit to State Exchanges.Accordingly, the final regulations maintain the rule in the proposed regulations because it is consistent with the language, purpose, and structure of section 36B and the Affordable Care Act as a whole.
So why did the IRS wait nearly 16 months to spring this
new interpretation on the public? That’s also an easy one. As of August 17, 2011,
when its rule was first proposed, only ten states had passed laws establishing
their own exchanges. Seventeen had outright rejected the Obamacare exchanges.
All told, 40 states had by that point failed to do the administration’s bidding
and set up state-based Obamacare exchanges.
Without exchanges in every state, Obamacare would surely
fail as a policy matter. And without massive subsidies to offset the costs of
Obamacare’s health plans, Obamacare would fail as a political matter. The IRS
maneuver was a last-ditch attempt to paper over the law’s serious structural
flaws.
The Halbig case changed all that and ripped off the
facade to expose a structure ready to collapse under its own weight. And it
wasn’t due to a “drafting error,” the uninformed opinions of know-nothing
bloviators who’ve spent exactly zero time drafting federal legislation
notwithstanding.
In 2010, Nancy Pelosi famously claimed that Congress
needed to pass Obamacare in order to find out what’s in it. Well, a federal
court just read Obamacare and found out what wasn’t in it: tax credit subsidies
for federal exchange health plans.
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