What is the fine-grained topic of the following text: Two judges from the U.S. Court of Appeals for the District of Columbia Circuit said they’re not, so poor people in states too lazy to set up their own insurance exchanges have to pay as much as wealthier folks for health insurance, making the law the Unaffordable Care Act. Only return the topic.
U.S. Court of Appeals ruling on health insurance costs for poor people in states without their own insurance exchanges.