Litigation Challenging Affordable Care Act


The following table shows the legal decisions made so far in the three most significant health reform lawsuits.

Florida Lawsuit

Florida Attorney General, along with attorneys general and governors in 25 other states, claim the Affordable Care Act’s individual mandate violates the Commerce Clause of the Constitution.

Virginia Lawsuit

Lawsuit filed by Virginia’s Attorney General, asserting that the Affordable Care Act is unconstitutional because it requires Virginia to violate its own law prohibiting any requirement that a Virginia resident buy health insurance.

Michigan Lawsuit

The Thomas More Law Center, a non profit law firm, challenged the constitutionality of the Affordable Care Act’s individual mandate.

District Court Decision

Found the Affordable Care Act unconstitutional

Found PPACA's individual mandate provision unconstitutional

Upheld the law’s constitutionality

Court of Appeals Decision

Found the individual mandate provision unconstitutional

Reversed trial court, finding the plaintiffs did not have legal standing to sue

Upheld the law’s constitutionality

U.S. Supreme Court

Upheld the constitutionality of the Affordable Care Act, but said the law cannot require states to expand their Medicaid programs