The Affordable Care Act incorporated the individual mandate, where individuals excluding dependents( people receiving medicare/medicaid, military families,etc) who do not purchase health insurance were required to to pay a form of tax. Also, the act required states to expand their medicaid programs, so that the do not lose all of their medicaid funds.By doing this, it would decrease the amount of people who were not coveraged. In 2010, the constitutionality of the individual mandate was questioned in the National Federation of Independent Business v. Sebelius. In this court case, the National Federation of Independent Business decided to have a lawsuit at the federal District Court for the Northern District of Florida against Kathleen Sebelius, a secretary for Health and Human services. The lawsuit claimed that Congress did not have the authority to regulate interstate commerce and that the act violated the Tenth Amendment because states were compelled to follow federal regulations. In contrast, Sebelius did not agree with this because she believed that the Affordable Care Act was the right path to a health reform. However, in 2011 the court case went to the U.S District Court for the Northern District of Florida and it was concluded that the individual mandate …show more content…
On November 13,2011, the Supreme Court permitted certiorari, so that it could revise the lower court's’ decisions. In addition, when the court case reached the Supreme Court it allowed people to know about the impact the case on the healthcare system. The reason why is because before reaching the Supreme Court the court case was not nationwide. Within the court case, the constitutional questions that were asked was: “ Is the suit brought by respondents to challenge the minimum coverage provision of the Patient Protection and Affordable Care Act barred by the Anti-Injunction Act, 2 U.S.C. 7421(a)? Does Congress have power under Article I, Section 8 of the Constitution, specifically under the Commerce Clause or the Taxing and Spending Clause, to require most Americans to purchase health insurance?Is the individual mandate severable from the ACA?Did Congress exceed its enumerated powers and violate principles of federalism when it pressured States into accepting conditions that Congress could not impose directly by threatening to