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Affordable Care Act Lawsuit - July 29 Government Motion to Dismiss

Affordable Care Act Lawsuit - July 29 Government Motion to Dismiss

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The Patient Protection and Affordable Care Act (“ACA” or “Act”) includes a series of
measures that will expand the availability of affordable health coverage. Of particular
relevance here, the Act provides for the establishment of new health insurance Exchanges, in which the purchasing power of individuals and small businesses will be combined so that they can buy more affordable insurance. States will establish and operate these Exchanges or, where
a state chooses not to do so consistent with federal standards, the federal government will
establish and operate the Exchange in place of the state. The Act provides for financial
assistance and tax incentives to encourage the purchase of insurance, including premium tax credits for eligible individuals to help defray the cost of insurance purchased through the Exchanges. 26 U.S.C. § 36B. These tax credits, when they become available in 2014, will provide substantial financial assistance to millions of Americans for the purchase of affordable
health insurance.
The Patient Protection and Affordable Care Act (“ACA” or “Act”) includes a series of
measures that will expand the availability of affordable health coverage. Of particular
relevance here, the Act provides for the establishment of new health insurance Exchanges, in which the purchasing power of individuals and small businesses will be combined so that they can buy more affordable insurance. States will establish and operate these Exchanges or, where
a state chooses not to do so consistent with federal standards, the federal government will
establish and operate the Exchange in place of the state. The Act provides for financial
assistance and tax incentives to encourage the purchase of insurance, including premium tax credits for eligible individuals to help defray the cost of insurance purchased through the Exchanges. 26 U.S.C. § 36B. These tax credits, when they become available in 2014, will provide substantial financial assistance to millions of Americans for the purchase of affordable
health insurance.

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Published by: Competitive Enterprise Institute on Sep 10, 2013
Copyright:Attribution Non-commercial

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02/13/2014

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IN THE UNITED STATES DISTRICT COURTFOR THE DISTRICT OF COLUMBIAJACQUELINE HALBIG
,
et al.
,
 
))Plaintiffs, ))v. ) Case No. 1:13-cv-00623-RWR )
KATHLEEN SEBELIUS,
in her official capacity )
 
as U.S. Secretary of Health and Human Services, )
et al.
, ))Defendants. ) _________________________________________ )
DEFENDANTS’ MEMORANDUM IN SUPPORTOF THEIR MOTION TO DISMISS THE COMPLAINT
Case 1:13-cv-00623-RWR Document 23-1 Filed 07/29/13 Page 1 of 52
 
i
TABLE OF CONTENTSPage
Introduction ......................................................................................................................................1Background ......................................................................................................................................4I. The Affordable Care Act .....................................................................................................4A. The Health Insurance Exchanges .............................................................................5B. Premium Tax Credits and Cost-Sharing Reductions ...............................................7C. The Tax Assessment for Large Employers That Fail to Offer Adequate Coverage ................................................................................................11D. The Minimum Coverage Provision ........................................................................12II. This Litigation ....................................................................................................................13Argument .......................................................................................................................................15I. The Plaintiffs Lack Article III Standing to Pursue This Action ........................................15A. The Plaintiffs Must Adequately Allege a Redressable Injury-in-Fact .................15B. The Individual Plaintiffs Lack Article III Standing ...............................................16C. The Employer Plaintiffs Lack Article III Standing................................................20II. The Plaintiffs Lack Prudential Standing to Pursue this Action .........................................22A. The Plaintiffs Must Show that Their Suit May Proceed under Principles of Prudential Standing...........................................................................22B. The Plaintiffs Do Not Fall Within the Zone of Interests Protected by Section 36B of the Internal Revenue Code .......................................................23C. The Claims of the Employer Plaintiffs Violate the Principle thata Party May Not Challenge the Tax Liability of Another .....................................25III. This Action Is Not Ripe .....................................................................................................28IV. The Plaintiffs Must Proceed Under the Form of Proceeding That CongressSpecified ............................................................................................................................31
Case 1:13-cv-00623-RWR Document 23-1 Filed 07/29/13 Page 2 of 52
 
iiV. The Anti-Injunction Act Bars the Employer Plaintiffs’ Claims ........................................35VI. In the Alternative, the Employer Plaintiffs’ Claims Should Be Dismissedfor Failure to Join Indispensable Parties ............................................................................38Conclusion .....................................................................................................................................41
Case 1:13-cv-00623-RWR Document 23-1 Filed 07/29/13 Page 3 of 52

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