TPMDC

Health Care Judge Skeptical Of Obama’s ‘Unprecedented’ Law

President Barack Obama

Yesterday, a District Court judge in Florida ruled that a lawsuit filed by 20 states and other plaintiffs can proceed. The development represents decidedly mixed news for the Obama administration and supporters of the health care law. The good news is that the judge — Reagan appointee Roger Vinson — threw out four of the plaintiffs’ six complaints. The bad news is that he will hear the weightiest of their contentions — that the individual mandate exceeds Congress’ power to regulate under the Commerce Clause. And according to one of the foremost experts on the health care lawsuits, the ruling indicates that the judge is sympathetic to the plaintiffs.

“On the Commerce Clause argument he suggested it was going to take a lot to convince him that the government is right,” says Professor Timothy Jost of Washington and Lee University. “They’re going to really have to come up with something because [at least in the judge’s mind] the law is pretty clear on that.”

Jost bases that conclusion on the final pages of Vinson’s ruling. “The individual mandate applies across the board,” Vinson wrote. “People have no choice and there is no way to avoid it. Those who fall under the individual mandate either comply with it, or they are penalized. It is not based on an activity that they make the choice to undertake. Rather, it is based solely on citizenship and on being alive.”

This measure — the individual mandate — has been the main focal point of the law’s opponents for months. Years ago, the Congressional Budget Office concluded that the idea of requiring people to purchase health insurance “unprecedented.” Citing that CBO conclusion, Vinson wrote that “to say that something is ‘novel’ and ‘unprecedented’ does not necessarily mean that it is ‘unconstitutional’ and ‘improper.’ There may be a first time for anything. But, at this stage of the case, the plaintiffs have most definitely stated a plausible claim with respect to this cause of action.”

Key to the plaintiff’s argument is that the health care law does not regulate activity affecting interstate commerce. Instead it seeks to regulate economic inactivity — i.e. by issuing a penalty on people who decide not to buy health insurance.

“He’s bought into the idea that this is regulation of inactivity and that the Constitution requires that there be activity to be regulated,” Jost says. “That’s my reading of the case.”

It’s not all bad news for reform, though.

Jost stressed both that the we’re still watching the earliest stages of litigation, and that already the judge has thrown out four of the plaintiff’s six claims: that the individual mandate violates due process under the Fifth Amendment; that the mandate is an unconstitutional tax (the judge ruled that it’s not a tax at all); that the law coerces and commandeers the states by forcing them to create insurance exchanges; and that it’s unconstitutional to require state government employers to provide insurance to their employees.

All thrown out.

That tracks closely with the Justice Department’s official response to the outcome today.

“While we are disappointed that the Court did not dismiss the entire case, we welcome the judge’s decision to reject most of the claims,” said DOJ spokeswoman Tracy Schmaler. “The judge saved for another day the decision on the merits of two claims, and we remain confident that the law ultimately will be upheld. The only Court that has decided the constitutionality of this law has sustained it and found that the minimum coverage provision was a reasonable step for Congress to take in reforming the nation’s health care system.”

“This case is in the early stages of litigation,” Schmaler added, “and the department will continue to vigorously defend this law in ongoing litigation.”

Onward to court.

Attorney General, Barack Obama, Constitution, Defunding health care, Health Care, Health Care Implementation, Health care lawsuits, Individual Mandate, Repealing health care, Republicans
Brian Beutler

Brian Beutler is TPM's senior congressional reporter. Since 2009, he's led coverage of health care reform, Wall Street reform, taxes, the GOP budget, the government shutdown fight, and the debt limit fight. He can be reached at brian@talkingpointsmemo.com.

Editor & Publisher

Josh Marshall

Managing Editor

David Kurtz

Senior Associate Editor

Paul Werdel

Associate Editor

Sara Libby

Assistant Editor

Igor Bobic

Reporters

Brian Beutler

Carl Franzen

Sahil Kapur

Eric Kleefeld

Eric Lach

Nick Martin

Evan McMorris-Santoro

Ryan J. Reilly

Benjy Sarlin

Front Page Editor

David Taintor

Poll Editor

Kyle Leighton

News Writer

Pema Levy

Video Editor

Michael Lester

Polling Fellow

Tom Kludt

Video Fellow

Clayton Ashley

Publishing Fellow

Christopher O’Driscoll

Research Interns

Michael Brooks

Publishing Intern

Miles Read

General Manager & General Counsel

Millet Israeli

VP, Ad Sales

Mary Cadwallader

Bob Edmunds

Bruce Ellerstein

Waldo Tibbetts

Manager, Ad Operations and Sales Support

Versha Sharma

Deputy Publisher

Callie Schweitzer

Director of Technology

Eric Buth

Designer/Developer

Ni Mu

Matthew Wozniak

Tech Fellow

Dennis Cahillane