The Supreme Court has thrown itself into American political life by agreeing to hear several cases with strong political implications, among them rulings regarding the signature legislation of the Obama administration—the 2010 health care overhaul, the Patient Protection and Affordable Care Acts (PPACA). Supreme Court intervention was anticipated, as the federal appeals courts were split on health care, some ruling that to force Americans to buy insurance is constitutional, others ruling that it is not. Both the Obama administration and its opponents have urged the courts to rule quickly. The Supreme Court appears to be preparing for a big fight—it has scheduled an extraordinary five and a half hours for arguments.
This could be important for Chiropractors, as the PPACA introduces several new preventive services under Medicare, such as Annual Wellness Visits (AWVs). However, Chiropractors are currently not allowed to be reimbursed for these new services. If health care reform is ruled constitutional, then an opportunity is lost to Chiropractic, as the laws which exclude Chiropractic from providing these services also allow many other types of practitioners to do so. On the other hand, if the the PPACA is determined to be unconstitutional, then, depending upon what portions are scrapped, these opportunities may be up for grabs. (See ChiroCode Hot Topics, Sept 2011 for more information on Annual Wellness Checkups).
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