自奥巴马医改法案通过之日起便命途多舛,全美相继有26个州出现“医改违宪”诉讼,2012年6月,联邦最高法院以5:4通过了奥巴马医改法案的合宪裁决,也就是著名的NFIB v.Sebelius案。在King v.Burwell案中,不满“奥巴马医改”保险补贴政策的King将美国卫生与公众服务部长Burwell告上了法庭,2015年6月25日,联邦最高法院对该案进行了裁决。本文以NFIB v.Sebelius和King v.Burwell两个案件的争议焦点为切入点解读奥巴马医改法案。 Since the adoption of the Obama Medical Reform Act, the lawsuits have been passed since the adoption of the Obama Medical Reform Act in 26 states across the country. In June 2012, the Supreme Court passed the constitutional ruling of the Obama Medical Reform Act 5: 4, That is, the famous NFIB v. Sebelelius case. In King v.Burwell, King dissatisfied with the “Obamacare” insurance subsidy policy King brought the U.S. Minister of Health and Human Services Burwell to court, and on June 25, 2015, the Federal Supreme Court ruled on the case. This article starts with the controversial focus of the two cases of NFIB v. Sebelius and King v. Burwell to interpret the Obama Medical Reform Act.