“WASHINGTON — Speaker John A. Boehner’s lawsuit against President Obama will focus on changes to the health care law that Mr. Boehner says should have been left to Congress, according to a statement issued Thursday by the speaker’s office.
By narrowly focusing the legal action on the Affordable Care Act, Mr. Boehner will sidestep the more politically problematic issue involving Mr. Obama’s executive action offering work permits for some illegal immigrants who were brought to the United States as children.
Last month, Mr. Boehner announced his intention to seek legislation allowing the House to sue the president over his use of executive actions, a reflection of charges by congressional Republicans that the president has overreached his authority. On Thursday, Mr. Boehner said the lawsuit would specifically challenge the president’s decision to delay imposing penalties on employers who do not offer health insurance to employees in compliance with the Affordable Care Act.”

“It was an important step forward for Republicans. They could have continued to deploy their anti-spending fervor against the discretionary side of the budget rather than taking on the larger, faster-growing, and politically trickier entitlements. They could, that is, have adopted a posture rather than a policy. Medicare reform was a sign the party was interested in governing again. Control of entitlements is after all a fiscal precondition for reform conservatism, or any other serious agenda.
Yet no larger agenda followed the Medicare initiative. Republicans’ advocacy of Medicare reform did not sink them, as Democrats had hoped, but neither did it supply an answer to voters’ concerns about the status of the American dream. And even as Ryan’s boldness got him a spot on the Republican ticket, it seems to have exhausted the appetite for innovation on the part of his colleagues. The Republicans were still narrowly focused on cutting spending.
A few Republicans started to adopt reformist themes following the 2012 election. Just a few weeks after it, Ryan criticized Republicans (though not his running mate) for having too little to say to Americans who do not run a business. Governor Bobby Jindal of Louisiana took aim at the Republicans’ tendency to identify, and be identified, exclusively with the rich. Senator Marco Rubio of Florida touted a proposal to address Americans’ anxieties about the rising cost and uncertain payoff of college.”

“Supporters of ObamaCare are nervously awaiting a decision by the D.C. Court of Appeals that could have even more dramatic consequences for the law’s ability to function than the Supreme Court’s religious liberty decisions issued last week.
Judge Thomas B. Griffith presided in March over arguments in one of the four cases – Halbig v. Burwell – challenging the Obama administration’s decision that subsidies for health insurance can flow through federal as well as state exchanges.
The Affordable Care Act says that health insurance subsidies are available only “through an exchange Established by the State.” The IRS, however, interpreted the statute to mean that the subsidies also could be distributed in the now 36 states where the federal government is operating exchanges.
During oral arguments, Judge A. Raymond Randolph indicated he felt the statute was quite clear in repeating “seven times” in that section that the subsidies are available only if the state sets up its own exchange.”

“Planned Parenthood unveiled a text helpline Monday for women who have lost or will lose contraception coverage in their healthcare plans after last week’s Supreme Court Hobby Lobby ruling.
The pro-abortion rights group says women who have lost birth control coverage or have questions about their healthcare can text the helpline to learn about their options.
The Supreme Court ruled last week some employers could deny workers access to free contraception coverage under their health insurance plans if it would infringe on the employer’s religious beliefs.
The group says women can text “birth control” to 69866 to report an employer’s refusal to pay for coverage. Those who use the text service get an email or phone follow-up from Planned Parenthood explaining what options the worker has and help on how to get free birth control.”

“Senate Majority Leader Harry Reid said Monday that Democrats will take up legislation in the “coming weeks” to address last month’s Supreme Court decision that allowed some employers with religious objections to opt out of Obamacare’s contraception mandate.
Democrats on Capitol Hill have overwhelmingly criticized the high court’s ruling in the Hobby Lobby case and are working to craft a response that would restore the coverage, though no specifics have yet been outlined.”

“WASHINGTON — How much distance from an immoral act is enough?
That’s the difficult question behind the next legal dispute over religion, birth control and the health law that is likely to be resolved by the Supreme Court.
The issue in more than four dozen lawsuits from faith-affiliated charities, colleges and hospitals that oppose some or all contraception as immoral is how far the Obama administration must go to accommodate them.
The justices on June 30 relieved businesses with religious objections of their obligation to pay for women’s contraceptives among a range of preventive services the new law calls for in their health plans.
Religious-oriented nonprofit groups already could opt out of covering the contraceptives. But the organizations say the accommodation provided by the administration does not go far enough because, though they are not on the hook financially, they remain complicit in the provision of government-approved contraceptives to women covered by their plans”

“The Supreme Court’s opinion Monday holding that some for-profit firms do not have to provide women the contraceptive coverage required under the Affordable Care Act if they have religious objections addressed only half of the ongoing legal battle over the birth control mandate.
But those on both sides of the issue think the court’s majority may have telegraphed which way it could rule when one of those other cases reaches the justices.
Depending on whose count you use, there are more than 50 other lawsuits still working their way toward the high court. They were filed by nonprofit groups, mostly religious educational and health organizations like universities and hospitals.”

“The Supreme Court struck a second blow against the health-care law Monday with its decision to narrow its contraception mandate, an aspect of the federal program that was not central to its existence but was deeply cherished among liberals and many women’s groups.
Two years ago, the court, while upholding the constitutionality of the Affordable Care Act, also gutted the law’s mandatory Medicaid expansion, severely limiting the law’s reach. By contrast, the effect of Monday’s decision is peripheral. The contraception provision was not part of the main law but was laid out in regulatory language issued by the Obama administration. Millions of women who receive birth control at no cost through their company health plans are likely to keep it.
Still, women who work for closely held, for-profit companies whose owners have religious objections to contraceptives may feel an impact. The ruling also is a symbolic setback for a law that has survived a series of legal and political challenges since its enactment four years ago but today stands not entirely whole.”

“Much has been written about the possibility that Republicans could win control of the Senate in the 2014 elections. In fact, some prognosticators have given Republicans a better-than-even-money shot at taking the Senate back. If Republicans keep the House and garner the net six seats necessary to win a Senate majority, what does that mean for health policy and politics in the next Congress? In particular, what does it mean for the continued implementation and expansion of the Patient Protection and Affordable Care Act, otherwise known as Obamacare?
I hear these questions a lot, having served as the Republican health policy director for one of the key Senate health policy committees in 2006, the last time Republicans held a majority in both houses of Congress. The one thing I know for sure is that Republicans simply can’t pick up where they left off in 2006, but that answer is far from satisfying.
This much, we know: if Republicans regain both houses in January 2015, health policy in the 114th Congress will be dominated by a showdown between a Republican Congress and a Democratic White House over the future of Obamacare. The challenge for Republicans will be how to balance the desire of the party faithful for repealing Obamacare with the reality that President Obama would never permit it under his watch.”

“The Supreme Court’s decision Monday saying that “closely held corporations” do not have to abide by the contraceptive coverage mandate in the Affordable Care Act may not give those firms the ability to stop providing that coverage after all.
More than half the states have “contraceptive equity” laws on the books that require most employers whose health insurance covers prescription drugs to also cover FDA-approved contraceptives as part of that package. Unlike the ACA, those laws do not require that coverage to be available without deductibles or co-pays.”