WASHINGTON — A federal appeals court ruled Tuesday that the government could not subsidize premiums for people in three dozen states that use the federal insurance exchange, a ruling that could upend President Obama’s health care law.The 2-to-1 ruling could cut off financial assistance for more than 4.5 million people who were found eligible for subsidized insurance in the federal exchange, or marketplace.Under the Affordable Care Act, the court said, subsidies are available only to people who obtained insurance through exchanges established by states.
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