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The Biden administration planned to seek a hold on O'Connor's decision. On June 25,the U. Supreme Court ruled, 6-3, that federal subsidies for health insurance premiums could be used in the 34 states that did not set up their own insurance exchanges. House Republicans sued the Obama administration inalleging that cost-sharing reduction subsidy visit web page to summa health internal medicine residency were unlawful because Congress had not appropriated funds to pay for them.
The argument classified the CSR subsidy as discretionary spending subject to annual appropriation. In Maya federal judge ruled for the plaintiffs, but the Obama administration appealed.