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GRAND RAPIDS, Mich. (WZZM) -- A federal appeals court has released a ruling that could impact more than 200,000 people here in Michigan.

The ruling, delivered Tuesday, says states that use the federally-run health insurance marketplace should not get federal subsidies to help people pay for healthcare.

Another federal appeals court issued a ruling Tuesday as well, though, contradicting that initial ruling.

Around 240,000 people in Michigan received subsidies to help pay for health care coverage.

Experts in West Michigan say those people could potentially lose that help because of one of Tuesday's rulings, but it's up to the US Supreme Court to decide which of the conflicting rulings might actually apply.

Priority Health's Marti Lolli said, "In some cases, we're talking about thousands of dollars per year for a family that is insured under a plan. We could kind of resurrect the problem we've been trying to solve, which is to extend access to more individuals to be able to purchase coverage."

For now, Lolli say the important thing to remember is it's too soon to worry.

She says until the Supreme Court makes a decision, the insurance companies and the exchange will continue to operate as normal.

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