Nearly five million Americans could face massive health insurance premium hikes if a federal court rules against a provision of the Patient Protection and Affordable Care Act (PPACA).

The case, Halbig v. Burwell, currently is before the U.S. District Court of Appeals for the District of Columbia. If the court decides that consumers in the federal exchange are not eligible for premium subsidies, those consumers will see their premiums go up by an average of 76 percent, according to a study by Avalere Health.

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