Question: In 2010, in an attempt to increase the number of Americans covered by health insurance and reduce the cost of health care, Congress passed the
In 2010, in an attempt to increase the number of Americans covered by health insurance and reduce the cost of health care, Congress passed the Patient Protection and Affordable Care Act. A key provision of the act was the “individual mandate,” a provision requiring that most Americans obtain “minimum essential” health insurance. By 2014, those not exempt or covered by insurance provided by their employer or a government program would have to buy insurance from a private insurer, or they would be assessed a “shared responsibility payment” by the Internal Revenue Service. This penalty would be assessed and collected in the same manner as any other tax penalty.
Twenty-six states, several individuals, and the National Federation of Independent Business brought an action challenging the constitutionality of the individual mandate, among other provisions. The 11th Circuit Court of Appeals upheld the other challenged provisions of the act but found that Congress lacked the authority to pass the individual mandate. The appellate court went on to hold that the individual mandate was severable from the rest of the act, despite the argument that the framework of the act was dependent on the individual mandate, and so upheld the rest of the act.
1. Is the individual mandate severable from the rest of the act, or is it integral to the effectiveness of the law, thereby requiring that the entire law be struck down if this provision is unconstitutional?
2. Does Congress have the authority to enact the individual mandate under either the Commerce Clause or the taxing clause?
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