Supreme Court, Health Care, and the States

Lisa Soronen, Executive Director of the State and Local Legal Center in Washington, D.C., explains the Supreme Court’s historic decision upholding the Affordable Care Act almost in its entirety. The individual mandate to purchase health insurance was found to be constitutional, but as Ms. Soronen explained, not under the commerce clause as most pundits expected but as a tax. The only exception to the finding of constitutionality was the requirement that states expand Medicaid eligibility to all persons with incomes below 133 percent of poverty or risk losing all Medicaid funds. In a bow to states’ rights, the Court found the mandate overly coercive. As a result, the expansion of Medicaid will be left to states' discretion.

Ms. Soronen explores not only the findings of the Court but provides some insight into the way the decision was shaped and its implications for future decisions. She provides her analysis in layperson’s language spiced with occasional humor.  

The June 29 CSG webinar was recorded during the CSG Medicaid Policy Academy held in Washington, D.C. Ms. Soronen presented her analysis of the Court’s decision in-person to 30 state legislators and legislative staff members from around the country. 

Supreme Court, Health Care, and the States
Lisa Soronen, Executive Director of the State and Local Legal Center