[UPDATE] Federal Health Care Law Argued in Court This Week

By: Jim Saunders, The News Service of Florida, AP
By: Jim Saunders, The News Service of Florida, AP

ATLANTA (AP) -- June 8, 2011 8:00am

The latest round in the ongoing fight over President Barack Obama's health care overhaul is being heard in the federal appeals court in Atlanta today.

A three-judge panel of the 11th Circuit Court of Appeals is scheduled to hear arguments on whether to reverse a Florida judge's ruling that struck down the law.

Some 26 states opposing the law and an alliance of small businesses are set to argue that Congress didn't have the power to require virtually all Americans to maintain health insurance. The Justice Department says the legislative branch exercised its "quintessential" right.

It will unfold in what's considered one of the nation's most conservative appeals courts. But the randomly selected panel includes two appointees of President Bill Clinton, and observers say it's hard to predict how they'll decide.



When U.S. District Judge Roger Vinson declared last year’s federal health overhaul unconstitutional, the ruling vindicated Florida Republicans and other critics of the law.

But Wednesday, three appellate judges in Atlanta --- including two appointees of former Democratic President Bill Clinton --- will get their shot at the case.

Despite the political cacophony surrounding the law, the case largely boils down to this question: Does the Commerce Clause of the U.S. Constitution allow the federal government to require that most people have health insurance starting in 2014?

Florida and other states spearheading the lawsuit also make another key argument: The federal government is improperly trying to “coerce” them with the law’s expansion of Medicaid eligibility.

Ultimately, the U.S. Supreme Court is expected to decide those issues. But with 26 states involved in the case, Wednesday’s arguments at the 11th U.S. Circuit Court of Appeals will be closely watched.

The Obama administration will argue the law complies with the Commerce Clause, at least in part, because health care is part of a broad system of interstate commerce. That interstate commerce is affected by uninsured people who need health care but can’t afford to pay for it.

“Millions of people without health insurance have consumed health-care services for which they do not pay,’’ administration lawyers said in a brief filed in the appeals court. “They have thereby shifted the uncompensated costs of their care … to health-care providers regularly engaged in interstate commerce.’’

But the states and other opponents argue that using the Commerce Clause to require Americans to buy insurance is unprecedented. Allowing it, they contend, would justify Congress making decisions about consumer spending on such products as food and housing.

“In the over 200 years that Congress has sat, it has never before attempted to exercise its Commerce Clause power in this manner,’’ the attorneys for the opponents wrote in a brief.

Vinson, a senior judge who was appointed to the federal bench by former Republican President Ronald Reagan, ruled in January against the Obama administration on the Commerce Clause issue. Vinson also went further, throwing out the entire federal law because he said the insurance requirement was a vitally interconnected part.

The requirement has always been the most-controversial part of the mammoth health law, which Obama and a Democratic-controlled Congress approved in March 2010. People who remain uninsured in 2014 will face financial penalties.

Bill McCollum, then Florida’s Republican attorney general, immediately filed the lawsuit last year in Pensacola and made the insurance requirement a centerpiece. Officials in 25 other states also joined the case, as did the National Federation of Independent Business and two individual plaintiffs.

As an indication of how politically charged the insurance requirement has become, the two sides in the lawsuit even describe it differently in the briefs. Obama administration lawyers describe it as the “minimum coverage provision,’’ while opponents call it an “individual mandate.’’

While Vinson agreed with Florida and the other states on the insurance requirement, he rejected their argument that the law would improperly expand Medicaid eligibility.

The expansion, which would raise income-eligibility levels to allow more people to qualify for Medicaid, would help meet the law’s goal of almost all Americans having health coverage. During the first few years, the federal government would cover all of the costs of the newly eligible people, though states would have to pay 10 percent of the costs by 2020.

States that refuse to expand eligibility would lose billions of dollars in federal Medicaid funding. The law’s opponents contend that is unconstitutional, saying Congress may not “employ its spending power to coerce states into capitulating to federal demands.’’

But Obama administration lawyers argue that state participation in Medicaid is voluntary and that Congress has the right to change the conditions of federal funding for the program.

Always shadowing the lawsuit has been the fierce partisan political fights about the health law. Those fights have played out in Washington and state capitals, such as Tallahassee, and also will be prominent during the 2012 presidential campaign.

That has also created scrutiny of the political backgrounds of the judges hearing the case. The judges Wednesday will include Clinton appointees Frank Hull and Stanley Marcus and Chief Judge Joel Dubina, who was appointed by former Republican President George H.W. Bush.

Dubina has received scrutiny in recent weeks because his daughter, U.S. Rep. Martha Dubina Roby, R-Ala., is an outspoken critic of the federal health law.


Attorney General Pam Bondi on Federal Health Care Challenge:

ATLANTA, Ga.—Tomorrow, June 8, at 9:30 a.m. the 11th Circuit Court of
Appeals in Atlanta, Ga. will hear oral arguments in Florida’s challenge to
the federal health care law. Former United States Solicitor General Paul
Clement will argue on behalf of Florida and the 25 other states
participating in this lawsuit. Attorney General Pam Bondi and the other
parties to the challenge expect this important constitutional issue to be
heard by the U.S. Supreme Court in its next term.

“The health care law is an unconstitutional and unprecedented assertion of
federal power over individuals and businesses,” said Attorney General
Bondi. “Our lawsuit is ultimately about protecting individual liberty and
preserving the constitutional principle of limited government. The nation
needs health care reform that’s pursued constitutionally and in a way that
does not harm our economy and our taxpayers.”

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  • by Georgia Boy Location: Cairo on Jun 8, 2011 at 11:56 AM
    And now one third of business currently providing health insurance say they will cut it out. Way to go, Obamacare! And one other thing. Do you see the importance of being careful about judge appointments? I think we need to change judgeships of appointees last only as long as the President who selects them is in office or the next President chooses to keep them--with the right of Presidential dismissal at any time.
  • by Anonymous on Jun 8, 2011 at 05:06 AM
    Time to totally get rid of this unconstitutional law! AG Bondy is doing a great job on this.
  • by Justin Location: Oklahoma on Jun 7, 2011 at 09:17 PM
    I believe we should do the right thing and extend coverage... Weren't we founded on religous ideals? “Religion that God our father counts as pure and faultless is this, to look after widows and orphans in their distress, and to keep oneself from being polluted by the world.” James 1:27 The United States spends at least 40% more per capita on health care than any other industrialized country with universal health care... Single payer universal health care costs would be lower than the current US system due to lower administrative costs. The United States spends 50 to 100% more on administration than single payer systems. By lowering these administrative costs the United States would have the ability to provide universal health care, without managed care, increase benefits and still save money... If your not Christian just be logical about the situation because logically universal health care would save us money... Over the first decade a trillion or more, YEAH, TRILLION, we could pay off some of our debt and decrease deficit at the same time... -Concerned American (AKA) Okie...
    • reply
      by Dave on Jun 8, 2011 at 06:01 AM in reply to Justin
      Yeah, follow the European model..Have your pregnant wife deliver your baby in the hall. Administration costs?, as in doctor and nurse and hopital pay. Cut their pay and see who's left. Many health care providers no longer accept medicare or medicade already. Yup, Obamacare is sooo good over 1500 major companies(the ones that supported it) have asked for a waiver to not utilize it.
    • reply
      by Anonymous on Jun 8, 2011 at 03:14 PM in reply to Justin
      The Bible never tells us to rely on government to take care of the poor, widows, and orphans. Christians do take care of them with our tithe to our Church and additional gifts and donations through charitable organizations. Government single payer health dare would bena total disaster. This unconstitutional law must to!
      • reply
        by Anonymous on Jun 8, 2011 at 05:40 PM in reply to
        "care would have be a"
  • by Anonymous on Jun 7, 2011 at 09:33 AM
    If people paid there bills when the go to the ER we wouldn't have this problem, and also if your leaders in the house and that Criminal Florida Governor hadn't committed fraud healthcare wouldn't be so much
    • reply
      by Dave on Jun 8, 2011 at 06:05 AM in reply to
      Yeah, go collect from the illegal aliens,,, if you can find them. They don't pay taxes, get food stamps, everything they make is take home pay. They can afford it.
  • by Steve Location: Marietta, Georgia on Jun 7, 2011 at 08:11 AM
    [Florida resident] I am completely against this! I am a Florida resident member of a union and a veteran. I many times, have just gone to Urgent care/Patient's First/Quick care, etc. I am provided coverage through my union. I am a veteran, and prefer the VA hospitals and clinics because they are located in every major city. Any copay that I make stays in that community. A citizen of The United States of America should not be required to purchase healthcare insurance!
  • by AWI on Jun 7, 2011 at 07:13 AM
    Betty, what if Congress said every American HAS to buy a gun. Would you support that too??
  • by Betty Sprat on Jun 7, 2011 at 06:33 AM
    I think people should just buy their healthcare and quit complaining. I hate waiting in long lines, so I hope the court finishes the job soon.
    • reply
      by that's the problem on Jun 7, 2011 at 10:14 AM in reply to Betty Sprat
      there are 40 million that won't be paying for theirs out of their own pocket.
    • reply
      by Anonymous on Jun 7, 2011 at 03:06 PM in reply to Betty Sprat
      If it was my own health care I was buying, I would quit complaining. I haven't been been to a dr. in 20 years. Why should I have to buy insurance so that my hard earned money can be used to pay for someone else's dr. visits, everytime they get a headache from overeating, overdrinking, overanythinging?
      • reply
        by Dave on Jun 8, 2011 at 06:12 AM in reply to
        That my friend is the crux of the lawsuit. Can the government make you buy ANYTHING. Your not going to the Dr and having to pay for someone else is what the Obamacare is counting on. In other words, you get to pay, but you don't even play. How do you like your hopey, changey thing now? Is the transformation of America going to your liking? I think not. Want more of the same? Vote him in for another four years..can you afford him?
        • reply
          by Anonymous on Jun 8, 2011 at 11:57 AM in reply to Dave
          How on earth, in reading my post, did you get that I supported, or voted for him?
    • reply
      by Anony Mouse on Jun 8, 2011 at 10:59 AM in reply to Betty Sprat
      Yes, Ms.Betty, I pay for my healthcare. I have group insurance. I have three options now I contribute, and then
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