The U.S. Supreme Court on Friday assured conservative opponents of President Barack Obama’s signature health care law another shot at crippling the law and its coverage of millions of Americans.

Just two years after a divided high court rejected a constitutional challenge to the core of the Affordable Care Act (ACA)—the requirement that individuals purchase health insurance or pay a penalty—the justices agreed to hear arguments and to decide King v. Burwell. The new case challenges an Internal Revenue Service rule interpreting another key provision in the act that authorizes tax subsidies to individuals who meet certain income eligibility requirements.

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