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The subsidies are at the center of a Supreme Court case challenging the health law. In King v. Burwell, the plaintiffs argue that the language of the health law restricts the subsidies to states that established their own exchanges.
Other states have overcome political opposition to Medicaid expansion and adopted plans to bring government-subsidized coverage to more of their low-income residents.
Without Medicaid expansion, South Florida’s low-income residents have found out the hard way that the healthcare safety net designed to catch people before they hit bottom is no substitute for insurance.
With legislators seemingly deadlocked on Medicaid expansion in Florida, residents in the "coverage gap" are stitching together their medical care through personal ingenuity, half doses of medicines and low-cost clinics.
Federal funding cuts made by the ACA and other programs will hit safety net hospitals hard.
As the Florida county negotiates health insurance changes with labor unions, it isn't allowed to know the prices its own insurance plan administrator negotiates with providers, even though it's self-insured and the claims are paid with taxpayer dollars.
The price a consumer pays for a medical procedure can vary significantly -- often with little difference in quality.
Like many employers across the country, Miami-Dade County isn't allowed to know the prices its own insurance administrators negotiate with healthcare providers, even though the county is self-insured and workers' claims are paid with taxpayer dollars.
Unlike Medicare, private insurers do not publish their payments, and experts say the prices they pay hospitals for the same procedure vary widely.
Jackson Health System offers free and reduced-cost treatment for those who qualify, but advocacy groups complain it fails to meet requirements for charity care.
After 300,000 Floridians receive notices that their plans will expire, Florida Blue, the state's largest insurance company, assures customers they will be eligible for new, ACA compliant plans.
Census data show that about 25 percent of state residents lack health coverage in a state that has opted against the health law's expansion of Medicaid, the government health program for the poor and disabled.
The health care model encouraged by the Affordable Care Act rewards physicians for coordinating patient care and controlling costs.
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