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ATTORNEY Lawyer Eliminate Pre-Existing Conditions Individual Mandate Penalty (“Tax”) State Exchange Subsidies

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Page 1: ATTORNEY Lawyer Eliminate Pre-Existing Conditions Individual Mandate Penalty (“Tax”) State Exchange Subsidies
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The case of the Alphabet Soup

P

P

A

C

AR

L

CP

T P

CATTORNEY

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Lawyer

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PPACA: The Case of SCOTUS

Through the Looking Glass

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The Affordable Care Act and the Three-Legged Stool

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Eliminate Pre-Existing Conditions

Individual Mandate Penalty (“Tax”)

State Exchange Subsidies

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A.C.A. §1311:

Subsidies for premiums purchased “through an Exchange established by the State.”

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50 States (plus DC)…17 State Exchanges…

34 Federal Exchanges…

Eliminate Pre-Existing Conditions

Individual Mandate Penalty (“Tax”)

State Exchange Subsidies

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50 States (plus DC)…17 State Exchanges…

34 Federal Exchanges…

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11.2 Million Taxpayers sought coverage;

87% qualified for subsidies. Without subsidies, individual

mandates are crippled.

Insurance pool reduced.

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A.C.A. §1321:

If state does not elect to set

up exchange, HHS “shall

establish and operate such

exchange within the state.”

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RLC: The Case of the Upside

Down Tax

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Required

Local

Contribution

“RLC”

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AS 14.17.410(b)(1)

“State aid

equals basic

need minus a

required local

contribution…”

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AS 14.17.410(b)(1)

“State aid

equals basic

need minus a

required local

contribution…”

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AS 14.17.410(b)(1)

“State aid

equals basic

need minus a

required local

contribution…”

AS 14.17.410(d)

“State aid may not be provided to a city or borough school district if

the [RLC] have not been made.”

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$4.2 Million

October 2013

Title 14.17

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AK Constitution

Article IX, Section 7

“The proceeds of any

state tax or license shall

not be dedicated to any

special purpose…”

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1. Prohibit Earmarking

2. Promote Flexibility of the General Fund

3. Prevent Abdication of Legislative Responsibility

? ? ?

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Dedicated “Tax or License” Examples:

1. Mandatory assessments on sale of salmon

2. Sale of land transferred to UA

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Dedicated “Tax or License” Examples:

But Not:

1. Whittier tunnel

2. Tobacco settlement

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Is the RLC an unconstitutional dedicated tax?

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Is the RLC an unconstitutional dedicated tax?

Judge Bill CareyAlaska Superior Court

YES

The RLC is a

proceed that comes

from a “state tax.”

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Is the RLC an unconstitutional dedicated tax?

Judge Bill CareyAlaska Superior Court

YES

And, RLC funds are

earmarked for a specific

purpose.

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If RLC is unconstitutional, then Ketchikan Borough gets its $4.2 million back.

TRUE or FALSE ?

$$

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Theory: Unjust Enrichment / Assumpsit

1. A benefit conferred on State by Borough.2. Appreciation of the benefit. 3. Retention of the benefit would be inequitable without paying the value.

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Theory: Unjust Enrichment / Assumpsit

1. A benefit conferred on State by Borough.2. Appreciation of the benefit. 3. Retention of the benefit would be inequitable without paying the value.

FALSE

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Theory: Unjust Enrichment / Assumpsit

1. A benefit conferred on State by Borough.2. Appreciation of the benefit. 3. Retention of the benefit would be inequitable without paying the value.

FALSE

AS 14.17.410(d):

No aid if no RLC

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Footnote 8: “The court recognizes that although the State is constitutionally mandated to ‘establish and maintain a system of public schools,’ it is not mandated to fully fund public schools… Public school districts are ‘eligible’ for, not entitled to, State aid.”

William B. Carey11/21/14Superior Court

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Are Municipal Districts better off if RLC is unconstitutional?

YES or NO?

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What is “full funding” of

schools?

?? ?

DEEP THOUGHTS…

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Are REAA’s immune?

?? ?

??

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What happens for FY15, FY16?

?? ?

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Who wins / loses

if foundation formulas

are completely

rewritten?

??

?

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Why is this dog not on a leash?

? ??

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AK Supreme Court Oral ArgumentSeptember 16, 2015

Chat for Happy Hour:1. 2 of 4 wonder if State obligated for “full funding.” If so, what is “full funding”?

2. If remanded, will it morph into direct adequacy consideration?3. Historical analysis.

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AK Supreme Court Oral ArgumentSeptember 16, 2015

Chat for Happy Hour:4. Fish/land sales different? It is the Constitution, silly.5. The glass is never ½ full. 6. One key—is it a tax? Socrates might ask do you have to pay it? “is the ante, not the wager.

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PTPC:The Case of the Alaskan

Socrates

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