The National Federation of Independent Business and 26 states have filed cases with the Supreme Court, questioning whether the Affordable Care Act is constitutional. The provision of the law requiring individuals to have insurance was ruled unconstitutional by an appeals court, but opponents have indicated the ruling was insufficient.
At the same time, the Obama Administration has requested the Court provide a final ruling to clarify whether the legislation is constitutional. Many expect the case will be accepted.
Should the Supreme Court hear the case, the Justices' decision could overturn the Act or significant portions of it, significantly altering the market for health insurance nationwide. Their determination may be made during the campaign season in 2012, enhancing the political effect.
The Act has been challenged in several states, but a Supreme Court decision would put an end to the matter permanently. Rulings by the judges who have examined the Act have varied.
Given the broad nature of the changes the Act mandates, and the various demands it makes of consumers, states and employers, any ruling is likely to affect much of the nation.
