Obamacare

Women are saving a lot of money as a result of a health law requirement that insurance cover most forms of prescription contraceptives with no additional out-of-pocket costs, a study finds. But the amount of those savings and the speed with which the savings accrued surprised researchers.

The U.S. Supreme Court handed the Obama administration a sweeping victory on Thursday, upholding the nationwide subsidies that are crucial to the president's health care law. By a 6-3 vote, the high court ruled that Congress meant all three major provisions of the law to apply to all states and to work in tandem.

The ruling was the court's second decision upholding the Affordable Care Act — three years ago, it upheld the law as constitutional.

As the Supreme Court edges closer to issuing an opinion that could deal a blow to the federal health exchange operating in more than 30 states, Democrats have sounded a warning to their colleagues on the other side: Be careful what you wish for.

It will be up to state officials and Congress to help consumers who can't afford health insurance if the Supreme Court strikes down health law subsidies for millions of Americans, Health and Human Services Secretary Sylvia Burwell.

"The critical decisions will sit with the Congress and states and governors to determine if those subsidies are available," Burwell told the House Ways and Means Committee on Wednesday.

Diabetes is something nurse practitioner Martha Brinsko helps a lot of patients manage at the Charlotte Community Health Clinic in North Carolina.

"Most mornings when you check your sugar, what would you say kind of the average is?" Brinsko asks Diana Coble.

Coble hesitates before explaining she ran out of what she needs to check it, and she didn't have the gas money to get back here sooner. Brinsko says Coble can get what she needs at the clinic.

The politics of the Affordable Care Act in the state of Louisiana aren't subtle: The law isn't popular.

The state was part of the lawsuit to strike down Obamacare in 2012; it didn't expand Medicaid and has no plans to. Louisiana also didn't set up its own marketplace to sell health insurance.

The Affordable Care Act requires all Americans to get health insurance or pay a penalty. To help coax people to buy a health plan, the federal government now subsidizes premiums for millions of Americans.

The old saying goes, "Nothing is certain except death and taxes." But the Affordable Care Act has added a new wrinkle.

For many policyholders, the ACA has introduced a good deal of uncertainty about their tax bills. That has led to surprise refunds for some and higher-than-expected tax payments for others.

Johnny Reynolds knew that something was wrong as far back as 2003. That's when he first started experiencing extreme fatigue.

"It was like waking up every morning and just putting a person over my shoulders and walking around with them all day long," says Reynolds, 54, who lived in Ohio at the time.

In addition, Reynolds was constantly thirsty and drank so much water that he would urinate 20 or 30 times per day. "And overnight I would probably get up at least eight or nine times a night," he says.

The Supreme Court heard arguments Wednesday in a case that could end Obamacare subsidies for policyholders in a majority of states, including Texas, Florida, Illinois, Pennsylvania and Ohio. If the court sides with the plaintiffs, it would mean millions of people could no longer afford health insurance.

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