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Insur- ance organizations are expected to provide them insurance no matter of patients’ pre-existing ailments and to comply with a host of other regulations. And the firms must pay back new taxes. Under the severability check set out higher than, it should be established if those people provisions operate in a coherent way and as Congress would have meant, even when the big provisions developing the Individual Mandate and Medicaid Expansion are themselves invalid. For ex- ample, the Federal Government bears the burden of paying billions for the new entitlements mandated by the Medicaid Expansion and federal subsidies for coverage purchases on the exchanges but it gains from reductions in the reimbursements it pays to hospitals. The two pillars of the Act are the Individ- ual Mandate and the expansion of coverage under Medicaid. It follows, as some of the parties urge, that all other provisions of the Act ought to drop as properly. If not, the remaining provisions must be invalidated

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