A federal judge on Tuesday refused to dismiss a case that could fatally cripple the Obamacare health insurance law.
The Affordable Care Act forbids the federal government from enforcing the law in any state that opted out of setting up its own health care exchange, according to a group of small businesses whose lawsuit got a key hearing Monday in federal court.
The Obama administration, according to their lawsuit, has ignored that language in the law, enforcing all of its provisions even in states where the federal government is operating the insurance marketplaces on the error-plagued Healthcare.gov website.
Thirty-six states chose not to set up their exchanges, a move that effectively froze Washington, D.C. out of the authority to pay subsidies and other pot-sweeteners to convince citizens in those states to buy medical insurance.
But the IRS overstepped its authority by paying subsidies in those states anyway, say the businesses and their lawyers.
The IRS has been offering tax incentives to citizens in all 50 states to get them to enroll in Obamacare, the plaintiffs say, although the Affordable Care act forbids it in the 36 states that have opted out. Without the subsidies, the employer mandate doesn't go into effect
The subsidies serve as a trigger that determines who has to comply with the now-famous individual and employer mandates. So, the lawsuit claims, the Obama administration illegally enforced the Affordable Care Act – suddenly making millions of taxpayers and small employers subject to paying fines if they don't play ball.
The Affordable Care Act authorizes subsidies only for policies purchased 'through an Exchange established by the State.'
A different section of the law empowers the federal government to set up its own exchanges for each state that chose not establish one.
But government lawyers have argued that 'Congress made clear that an exchange established by the federal government stands in the shoes of the exchange that a state chooses not to establish.'
The Treasury Department, they contend, 'has reasonably interpreted the Act to provide for eligibility for the premium tax credits for individuals in every state, regardless of which entity operates the exchange.'
But that amounts to the federal government ignoring the letter of the law, lawyer Sam Kazman says.
And 'without those subsidies, the employer mandate isn't triggered,' he told MailOnline.
And that could make the entire Obamacare system unsustainable.
Health and Human Services Secretary Kathleen Sebelius is the named defendant in the legal action, which claims her agency is ignoring 36 states' desire to opt out of enforcing the Affordable Care Act
Oops: President Obama appeared with 13 Obamacare supports Monday in the White House rose garden, but only three of them have actually enrolled in the health insurance exchanges
Kazman is general counsel for the Competitive Enterprise Institute, a free-market think tank that is coordinating the case.
Attorney Sam Kazman says the federal government is illegally subsidizing health insurance in all the states that chose not to set up their own health care marketplaces. And without the subsidies, the entire Obamacare system could fail
'The IRS cannot rewrite the law that Congress passed,' said Tom Miller, resident fellow at another think, the tank American Enterprise Institute.
'Its regulation expressly flouts the statutory text of the Affordable Care Act, the intent of Congress and the reasoned choices of [36] states.'
'The fiscal impact' of denying the Obamacare system millions of dollars in lost fines, 'while sizable, wouldn't be large enough to bring down the house,' Kazman added. The poltical one, however, is.'
'You'd have 34 "refusenik" states exempting their employers and many of their citizens from the employer mandate and portions of the individual mandate,' he explained.
'You'd have companies in participating states considering whether to move their operations' to states where they don't have to obey the Affordable Care Act. 'And you might even have some of those states seeking to undo their choice to participate.'

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