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1
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79751497128
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The Act was modified by the Health Care and Education Affordability Reconciliation Act of 2010, Pub. L. 111-152,124 Stat. 1029, which was signed by President Obama on March 30, 2010. Throughout this paper we refer to this combined legislation, Pub. L. No. 111-148, 124 Stat. 119 (2010), as "the ACA" or "the Act.
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The Act was modified by the Health Care and Education Affordability Reconciliation Act of 2010, Pub. L. 111-152, 124 Stat. 1029, which was signed by President Obama on March 30, 2010. Throughout this paper we refer to this combined legislation, Pub. L. No. 111-148, 124 Stat. 119 (2010), as "the ACA" or "the Act.
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2
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79751485890
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Letter from Congressional Budget Office to the Honorable Nancy Pelosi (March 2010) (on file with authors) (providing an estimate of the budgetary effects of the reconciliation proposal, in combination with the effects of H.R. 3590, ACA, as passed by the Senate).
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Letter from Congressional Budget Office to the Honorable Nancy Pelosi (March 2010) (on file with authors) (providing an estimate of the budgetary effects of the reconciliation proposal, in combination with the effects of H.R. 3590, ACA, as passed by the Senate).
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3
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79751496140
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Patient Protection and Affordable Care Act, Pub. L. No. 111-148 § 2001(a)(1), 124 Stat. 271 (adding 42 USC § 1396a(a)(10(A) (i)(VIII)).
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Patient Protection and Affordable Care Act, Pub. L. No. 111-148 § 2001(a)(1), 124 Stat. 271 (adding 42 USC § 1396a(a)(10(A) (i)(VIII)).
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4
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79751519827
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Pub. L. No. 111-148 § 5000A, 124 Stat. 244; Pub. L. 111-152 § 1002, 124 Stat. 1032.
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Pub. L. No. 111-148 § 5000A, 124 Stat. 244; Pub. L. 111-152 § 1002, 124 Stat. 1032.
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5
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79751472079
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Pub. L. No. 111-148 § 1401, 124 Stat. 213; Pub. L. 111-152 § 1001, 124 Stat. 1030.
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Pub. L. No. 111-148 § 1401, 124 Stat. 213; Pub. L. 111-152 § 1001, 124 Stat. 1030.
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6
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79751505713
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Id., at 1001, 124 Stat. 131 (amending 42 U.S.C. 300gg et seq.).
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Id., at 1001, 124 Stat. 131 (amending 42 U.S.C. 300gg et seq.).
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7
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79751518146
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42 U.S.C.A. § 300u-10 (2010).
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42 U.S.C.A. § 300u-10 (2010).
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8
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79751482022
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Id., at § 300u-11.
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Id., at § 300u-11.
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9
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79751497127
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U.S. Department of Health and Human Services, Sebelius Announces New $250 Million Investment to Strengthen Primary Health Care Workforce, Press Release, available at (last visited December 10, 2010); U.S. Department of Health and Human Services, HHS Awards Nearly $100 Million in Grants for Public Health and Prevention Priorities, available at (last visited December 10, 2010).
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U.S. Department of Health and Human Services, Sebelius Announces New $250 Million Investment to Strengthen Primary Health Care Workforce, Press Release, available at (last visited December 10, 2010); U.S. Department of Health and Human Services, HHS Awards Nearly $100 Million in Grants for Public Health and Prevention Priorities, available at (last visited December 10, 2010).
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10
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79751485032
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42 U.S.C.A. § 280g-10 (2010); See, e.g., Pub. L. No. 111-148 § 4106, 124 Stat. 559.
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42 U.S.C.A. § 280g-10 (2010); See, e.g., Pub. L. No. 111-148 § 4106, 124 Stat. 559.
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11
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79751483779
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42 U.S.C.A. §§ 280h-4 to -5; 280k-1 to -3.
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42 U.S.C.A. §§ 280h-4 to -5; 280k-1 to -3.
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12
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79751516722
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Pub. L. No. 111-148 §§ 4106, 4107, 124 Stat. 559.
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Pub. L. No. 111-148 §§ 4106, 4107, 124 Stat. 559.
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13
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79751472949
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29 U.S.C.A. § 794f; Pub. L. No. 111-148 § 4204, 124 Stat. 571.
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29 U.S.C.A. § 794f; Pub. L. No. 111-148 § 4204, 124 Stat. 571.
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14
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79751479671
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Pub. L. No. 111-148 §§ 4108, 4201, 4202, 4306, 124 Stat. 561, 564,566, 587.
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Pub. L. No. 111-148 §§ 4108, 4201, 4202, 4306, 124 Stat. 561, 564, 566, 587.
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15
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79751514845
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42 U.S.C.A. § 300u-15; Pub. L. No. 111-148 § 4402, 124 Stat. 588.
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42 U.S.C.A. § 300u-15; Pub. L. No. 111-148 § 4402, 124 Stat. 588.
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16
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79751471344
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Pub. L. No. 111-148 §§ 4205, 4207, 124 Stat. 573 577.; Pub. L. No. 111-148 § 4004, 124 Stat. 544; 42 U.S.C.A. §§ 292d, 290bb-33; 42 U.S.C.A. § 280m.
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Pub. L. No. 111-148 §§ 4205, 4207, 124 Stat. 573 577.; Pub. L. No. 111-148 § 4004, 124 Stat. 544; 42 U.S.C.A. §§ 292d, 290bb-33; 42 U.S.C.A. § 280m.
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17
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79751474871
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See Letter from Congressional Budget Office, supra note 2, at 2.
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See Letter from Congressional Budget Office, supra note 2, at 2.
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18
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79751491521
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Officials from seven other states have since joined the suit. Florida v. Sebelius, No. 3:10-cv-00091 (N.D. Fla. 2010).
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Officials from seven other states have since joined the suit. Florida v. Sebelius, No. 3:10-cv-00091 (N.D. Fla. 2010).
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19
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79751497428
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Va. Code Ann. § 38.2-3430.1 (2010); Virginia ex rel. Cuccinelli v. Sebelius, No. 3:10cv188 (E.D. Va. 2010).
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Va. Code Ann. § 38.2-3430.1 (2010); Virginia ex rel. Cuccinelli v. Sebelius, No. 3:10cv188 (E.D. Va. 2010).
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20
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79751511613
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The "Commerce Clause" grants Congress the power to "regulate Commerce ... among the several States." U.S. Const. art. I, sect; 8.
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The "Commerce Clause" grants Congress the power to "regulate Commerce ... among the several States." U.S. Const. art. I, § 8.
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21
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79751505998
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See United States v. South-Eastern Underwriters Ass'n, 322 U.S. 533, 540 (1944) ("Perhaps no modern commercial enterprise directly affects so many persons in all walks of life as does the insurance business. Insurance touches the home, the family, and the occupation or the business of almost every person in the United States."); Gonzales v. Raich, 545 U.S. 1 (2005) (upholding federal regulation of marijuana grown for home use as part of a national scheme for banning controlled substances).
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See United States v. South-Eastern Underwriters Ass'n, 322 U.S. 533, 540 (1944) ("Perhaps no modern commercial enterprise directly affects so many persons in all walks of life as does the insurance business. Insurance touches the home, the family, and the occupation or the business of almost every person in the United States."); Gonzales v. Raich, 545 U.S. 1 (2005) (upholding federal regulation of marijuana grown for home use as part of a national scheme for banning controlled substances).
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22
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79751481739
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Note
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U.S. Const. art. I, § 9 prohibits the levying of a direct tax "unless in Proportion to the Census or Enumeration." This Article is modified by the 16th Amendment, which clarifies that "The Congress shall have power to lay and collect taxes on incomes, from whatever source derived, without apportionment among the several States, and without regard to any census or enumeration." U.S. Const. amend. XVI.
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23
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79751501286
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Order Denying Plaintiffs' Motion for injunction and Dismissing Plaintiffs' First and Second Claims for Relief, Thomas More Law Center v. Barack Hussein Obama, No. 2:10-cv-11156 at 18 (E.D. Mich. 2010).
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Order Denying Plaintiffs' Motion for injunction and Dismissing Plaintiffs' First and Second Claims for Relief, Thomas More Law Center v. Barack Hussein Obama, No. 2:10-cv-11156 at 18 (E.D. Mich. 2010).
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24
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79751502135
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Order Granting Defendant's Motion to Dismiss, Liberty Univ. v. Geithner, No. 6:10-cv-00015 (W.D. Va. 2010).
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Order Granting Defendant's Motion to Dismiss, Liberty Univ. v. Geithner, No. 6:10-cv-00015 (W.D. Va. 2010).
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25
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79751515585
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Memorandum Opinion, Virginia ex rel. Cuccinelli v. Sebelius, No. 3:10-cv-188 (E.D. Va. ).
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Memorandum Opinion, Virginia ex rel. Cuccinelli v. Sebelius, No. 3:10-cv-188 (E.D. Va. 2010).
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(2010)
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