California v. Texas: Avoiding an Antidemocratic Outcome.

Journal of law and health Pub Date : 2024-01-01
Jon Lucas
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Abstract

The Affordable Care Act ("ACA") contains a section titled "Requirement to Maintain Essential Minimum Coverage." Colloquially known as the Individual Mandate, this section of the Act initially established a monetary penalty for anyone who did not maintain health insurance in a given tax year. But with the passage of the Tax Cuts and Jobs Act, the monetary penalty was reset to zero, inducing opponents of the ACA to mount a legal challenge over the Individual Mandate's constitutionality. As the third major legal challenge to the ACA, California v. Texas saw the Supreme Court punt on the merits and instead decide the case on grounds of Article III standing. But how would the ACA have fared if the Court had in fact reached the merits? Did resetting the Individual Mandate penalty to zero uncloak the provision from the saving construction of Nat'l Fed'n of Indep. Bus. v. Sebelius? This Note posits that, had the Court reached the merits, it would have found the Individual Mandate no longer met the requirements for classification as a tax under the rule relied on in NFIB. Moreover, it argues that the Court would have found the unconstitutional provision to be inseverable from the ACA insofar as it was integral to funding both the novel structure of the reformed healthcare system and the prohibition against insurance carriers denying coverage due to a pre-existing condition. This examination ultimately reveals that an outright repeal of the ACA would have been antidemocratic in the face of current consensus opinion that favors the reform and highlights the impact its abrogation would have had.

加州诉得克萨斯州案:避免反民主的结果。
平价医疗法案》("ACA")中有一节名为 "保持基本最低保险的要求"。俗称 "个人强制要求",该法案的这一部分最初规定对在特定纳税年度未投保医疗保险的人处以罚款。但随着《减税与就业法案》(Tax Cuts and Jobs Act)的通过,罚款额度被重设为零,导致《美国医疗保险法案》的反对者对 "个人强制要求 "的合宪性提出了法律挑战。加利福尼亚州诉得克萨斯州案是对《反垄断法》的第三大法律挑战,最高法院在此案中放弃了对案情的审理,而是以第三条规定的诉讼资格为由对此案做出了判决。但是,如果法院真的对案情进行了审理,ACA 的情况又会如何呢?将 "个人任务 "的罚金重置为零是否使该条款摆脱了 "全国独立商业联合会诉西贝利厄斯 "案的保护性解释?本说明认为,如果法院审理了案情实质,就会发现 "个人授权 "不再符合 NFIB 案中所依据的规则将其归类为税收的要求。此外,该报告还认为,法院会认为该违宪条款与《反垄断法》密不可分,因为它是改革后医疗保健系统的新结构和禁止保险公司因既存病症拒绝承保的规定所不可或缺的资金来源。这一研究最终揭示出,在当前支持改革的共识面前,彻底废除《反垄断法》是反民主的,并强调了废除该法将产生的影响。
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