Judging The Health Care Law

The Ramifications

The Supreme Court's decision to uphold nearly all of the sweeping federal law overhauling the nation's health care system will have widespread effects:

On Health Care

The law's requirement that nearly everyone have health insurance is set to take effect in 2014.

On Politics

President Obama got a big win, but the decision also energizes his opponents.

On Law

The "complicated and interesting" ruling lays out the court's view of Congress' power.

In Depth

Read an annotated version of the justices' decision.

The Arguments

When the Supreme Court weighed the fate of President Obama's health care overhaul law in March, the justices looked at several key issues:

March 26

Anti-Injunction Act

An 1867 law raises the question: Did the Supreme Court have the right to hear this case yet?

March 27

Individual Mandate

The court considered the question: Does Congress have the authority to compel people to buy health insurance?

March 28

Severability

If the court were to strike down one part of the law, such as the individual mandate, would the whole law become invalid? If not, were there other parts that were inextricably linked that would have to be struck down as well?

March 28

Medicaid

The court heard arguments on requiring states to expand their Medicaid programs.

More NPR Coverage

Court Gives States Ammunition In Health Care Battle()  

Susan Clark (left) argues with another protester about the Affordable Care Act outside the U.S. Supreme Court. Chief Justice John Roberts likened the law's Medicaid expansion provision to "a gun to the head" of states.

July 9, 2012 The Supreme Court's health ruling limited the federal government's power to withhold funding if states don't meet certain requirements. But it didn't draw a clear line between the types of financial conditions that are OK and those unfair to states. That's likely to lead to lawsuits.

Summary

It's All Politics

Did Roberts Flip On The Health Care Decision?()  

Since the Supreme Court's health care ruling, there's been a lot of speculation about whether Chief Justice John Roberts changed his mind during the course of deliberations.

July 3, 2012 Since the Supreme Court's health care ruling — in which Chief Justice John Roberts provided the key vote to uphold most of the law — speculation has raged about whether he changed his mind in the course of deliberations. In many ways, the question of a switch misperceives how the court works.

Transcript

On All Things ConsideredPlaylist

Assessing The Supreme Court's Recent Term()  

The U.S. Supreme Court justices (first row, from left) Clarence Thomas, Antonin Scalia, Chief Justice John Roberts, Anthony Kennedy, Ruth Bader Ginsburg, (back row) Sonia Sotomayor, Stephen Breyer, Samuel Alito and Elena Kagan — pose at the Supreme Court in 2010.

July 2, 2012 The health care case wasn't the only important decision rendered by the court during its recent term. New York Times reporter Adam Liptak rounds up the session's most important cases — including ones addressing immigration, campaign finance and Guantanamo detainees.

Transcript

On Fresh Air from WHYYPlaylist

Shots - Health News

The Day After A Health Care Crescendo, Each Side Plays A Familiar Refrain()  

Joy Reynolds of San Diego, Calif., looks over Friday's front pages on display at the Newseum in Washington, the day after the Supreme Court ruling on President Barack Obama's health care law.

June 29, 2012 Supporters of the Affordable Care Act are back to singing its praises and doling out money. Opponents are trying to focus on the one aspect of the case that they won, limiting government's ability to withhold Medicaid money from states.

Transcript

On All Things ConsideredPlaylist

Court's Recent Rulings Shake Up Partisan Narrative()  

The U.S. Supreme Court justices — (first row, from left) Clarence Thomas, Antonin Scalia, Chief Justice John Roberts, Anthony Kennedy, Ruth Bader Ginsburg, (back row) Sonia Sotomayor, Stephen Breyer, Samuel Alito and Elena Kagan — pose at the Supreme Court in 2010.

June 29, 2012 Supreme Court decisions have tended to fall along partisan lines in recent years. But neither the Arizona immigration ruling nor the decision upholding the federal health care law followed the typical divide. Many observers say it will help the court's standing to appear above politics.

Transcript

On All Things ConsideredPlaylist

Doctors Applaud Ruling But Keep Champagne On Ice()  

June 29, 2012 Many medical professionals are glad people won't lose coverage provided by the Affordable Care Act. Still, they worry about whether there will be enough physicians to treat increased patient loads — and who will ultimately pay the bill.

Summary

Shots - Health News

Supreme Court Ruling Prompts Foot Race In Press Corps()  

A reporter sprints out of the U.S. Supreme Court building with the health care decision in hand.

June 29, 2012 Journalists raced to get copies of the Supreme Court decision on the federal health law out of the courthouse as fast as humanly possible. Photographers were there to document their colleagues' athletic prowess.

Summary

The Two-Way

On The Morning After, Who's The Winner Is Everybody's Guess()  

Susan Clark (left) argues with another protester about the Affordable Care Act outside the U.S. Supreme Court on Thursday.

June 29, 2012 Figuring out who benefits most politically from Thursday's Supreme Court decision that upheld the constitutionality of President Obama's health care overhaul seems to be today's toughest assignment.

Summary

It's All Politics

Roberts' Ruling Recalls Other Moments When High Court Shocked The Nation()  

The U.S. Supreme Court on the eve of a hearing about the Florida presidential election recount, Nov. 30, 2000. The justices later ruled 5-4 in the case of Bush v. Gore, effectively deciding the outcome of the presidential race.

June 29, 2012 Time and again, the court has shaken up American politics with pronouncements no one quite expected, from the rejection of "separate but equal" schools to the striking down of bans on gay sex. And the effects of a landmark decision may only be revealed over time.

Summary

Planet Money

After Years Of Uncertainty, A Health-Care Business Gets An Answer()  

June 29, 2012 It's 9:45 am on Thursday at the headquarters of Health Plan One, a health insurance agency that sells private policies. The biggest court decision ever regarding health insurance is about to come down.

Transcript

On Morning EditionPlaylist

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