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Spokane, Washington  Est. May 19, 1883

Health care appeal denied

Supreme Court to let lower courts decide challenges

David G. Savage Tribune Washington bureau

WASHINGTON – The Supreme Court refused Monday to bypass the lower courts and take up an immediate challenge to the constitutionality of the national health care reform law and its requirement that all those who can afford it have medical insurance by 2014.

The announcement concerned only the timing of a decision on the health care law and said nothing about how the court may finally rule. The justices rarely skip over the lower courts before taking up a constitutional question and have said they will do so only if a case is of such “imperative public importance” as to “require immediate determination” by the high court.

The justices without comment turned down an appeal from Virginia’s attorney general, who insisted the Affordable Care Act has “roiled America” and left employers and citizens “mired in uncertainty.”

The court’s action almost certainty puts off a ruling on the health care law until at least next year.

The attorneys general from more than half the states, nearly all of them Republican, filed lawsuits contending the mandate for individuals to have health insurance exceeded Congress’s power to regulate commerce. The main lawsuit was filed in Pensacola, Fla.

But on the day President Barack Obama signed the health care bill into law, Kenneth Cuccinelli, Virginia’s attorney general, filed a separate suit in Richmond. He won before a federal district judge who declared the mandate to be unconstitutional. The Obama administration, as expected, filed an appeal, and the case is to be heard by the U.S. 4th Circuit Court of Appeals on May 10.

A judge in Florida also declared the law unconstitutional, and an appeal of that decision will be heard by the U.S. 11th Circuit Court of Appeals in Atlanta.

Usually, the losing side appeals, but Cuccinelli nonetheless petitioned the Supreme Court to take up his case before the 4th Circuit Court could rule.

Obama administration lawyers used the opportunity to set out a lengthy defense of the law. They said the market for health care services is quite unusual. The need for medical care is “essentially universal. … Nearly everyone will require health services at some point in his or her lifetime,” but the need for “expensive medical care is unpredictable.”

The administration’s lawyers also argued that Virginia had no standing to sue because the health care mandate applies to individuals, not the state.