A U.S. Supreme Court decision on the Affordable Care Act could affect Illinois—unless the state sets up its own insurance marketplace. The pending case questions whether the subsidies are legal in states relying on the federal insurance marketplace. Illinois is among those states, and U.S. Sen. Dick Durbin (D-Ill.) says the best solution requires action from state legislators.

“We can absolve ourselves from any worry about that pending Supreme Court case by creating our own state marketplace,” Durbin said. “Many states have done it. I hope Illinois will do it.”


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The court challenge is based on a sentence in the Affordable Care Act that seems to restrict federal subsidies to health care plans bought on state-run exchanges, which most states opted not to set up.

Legislators have considered the idea before, with a bill passing the Illinois Senate but never being put up for a vote in the House. Time was already a factor because federal grants for states setting up their own exchanges won’t be available after this year.

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