Health On The Hill: KHN’s Mary Agnes Carey and ABC News’ Ariane de Vogue discuss today’s oral arguments in the American Center for Law and Justice’s challenge to the health law.
MARY AGNES CAREY: Good day, this is Health on the Hill, and I’m Mary Agnes Carey. The Washington D.C. Circuit Court of Appeals heard arguments this morning concerning the health law’s individual mandate: A requirement that most individuals purchase health insurance before 2014 or face a fine. With us today to discuss the case is Ariane de Vogue who covers legal issues for ABC News. Thanks for joining us.
ARIANE DE VOGUE: Thank you.
MARY AGNES CAREY: This is the fourth appellate court to hear a challenge to the individual mandate. What can you tell us about the case? In what way were today’s arguments the same or different than those heard in previous court challenges?
ARIANE DE VOGUE: This case had drawn a lot of attention, because the panel hearing the case is composed of two very conservative … judges: Laurence Silberman, appointed by Ronald Reagan, and Brett Kavanaugh, appointed by George W. Bush. The third judge was Harry T. Edwards, and he was appointed by Jimmy Carter. But today, Silberman and Kavanaugh were very skeptical of the government’s principle argument, that is, that the mandate is constitutional because the Commerce Clause authorizes Congress to regulate economic activity.
As soon as the government’s lawyer stood up to make her argument, they pounced and they asked, in essence: “What are the limits on the federal government?” Judge Kavanaugh worried about an expansion of the [social safety] net. And Judge Silberman, asked “Well, could the government mandate you to buy a car?” And that brings in the Obama administration lawyer, she said that it’s not about forcing someone to buy a product, it’s about the financing of the product that every individual will need sometime in their life.
MARY AGNES CAREY: In this case, the plaintiffs are also arguing Congress doesn’t have the power to require consumers to purchase health insurance. They’re arguing that, but they’re also challenging the law on religious grounds. Can you tell us a little bit about how much of that, of a role did that play today?
ARIANE DE VOGUE: Well, unlike some of the other cases that have been brought by the states, this challenge is brought by four individuals represented by the conservative American Center for Law and Justice. And in court today, their lawyers argued that they believe that the mandate violates their religious freedom. The plaintiffs wanted to be able to have the choice for God to take care of them. They don’t want to be forced by a mandate or pay a penalty, they think God will take care of them, and as their lawyers said, they feel like this mandate forces them into a market.
Now they also argue as most of the other challengers have, that in fact, while Congress might have the power to regulate interstate economic activity, it doesn’t have the power to regulate inactivity or their choice not to participate.
MARY AGNES CAREY: But there are exemptions for religious concerns, right, in the health law? So why wouldn’t these folks qualify for a religious exemption?
ARIANE DE VOGUE: It’s interesting. Those exemptions are extremely narrow. And I was talking to their lawyers about it, and they said that those exemptions only apply to the Amish. What’s interesting is – as you know – this case was dismissed at the lower-court level, and the judge said she was striking it down in part because these challengers – if they didn’t want to purchase the mandate, they could simply just pay the penalty.
MARY AGNES CAREY: So you mentioned earlier about we’ve got a three-judge panel; we’ve got two Republicans and a Democrat. And you talked a lot about their questions on the Commerce Clause. What other sorts of areas did they explore, and how do you think those might change shape the eventual ruling?
ARIANE DE VOGUE: It’s hard to tell. The other appeals courts, they’ve taken about three or four months to rule on the issue. And it’s difficult to read the tea leaves about how this will come out or when it will come out. But there was one interesting thing that occurred. And it’s kind of technical, but it’s very important.
One of the other appeals courts that recently heard arguments on this came out and dismissed the challenge and said that the challenge could not go forward now, because there’re a federal law – the Anti-Injunction Act – that actually bars lawsuits before a tax penalty is actually assessed.
So, you know this is about the individual mandate and the penalty, but it doesn’t take effect until 2014. So today in court, Judge Kavanaugh seemed to agree with this position. And that’s important as an issue of timing. Because if he believes that this law bars any challenge, the timing of when the challenges could occur shifts to 2015, and that’s a long time down the road.
MARY AGNES CAREY: So, you’re saying that maybe the individual mandate issue here in the health law may not be decided until well beyond 2014.
ARIANE DE VOGUE: Well, if this argument takes off, and if another appeals courts agrees with the Virginia appeals court [4th Circuit Court of Appeals] that found it, this means that the challenges can’t be brought, because the penalty hasn’t been assessed, because it only takes effect in 2014.
MARY AGNES CAREY: Looking ahead, what other legal challenges to the health law should be we watching?
ARIANE DE VOGUE: The thing really to watch now is the Supreme Court and whether and when the court is going to step in. We’ve talked about what happened with the Anti-Injunction Act. But most people believe that the Supreme Court, because the circuits have split on the constitutionality of this mandate, and because it’s a major piece of legislation, it’s going to step in. It’s going to take up the issue at some time. The question is when.
They have some challenges in front of them now, so the justices could agree to step in. If they do so before the first couple of weeks of January – if they agree to take up one of the cases or a consolidated version of one of the cases – then it will be heard this spring, and it will be decided by early summer. And that essential, of course, because that comes in the heat of the next presidential campaign. So people wonder, how quickly would the Supreme Court move? Maybe they’d wait to see the result of today’s case before stepping in. And that would push it not to the term that’s about to start, but maybe the term after that.
MARY AGNES CAREY: So it’s shaping up to be an exciting 2012 and beyond for the health law.
ARIANE DE VOGUE: It really is. The court challenges have all been different, they’ve all had their own characteristics, and it’s been fascinating to watch.
MARY AGNES CAREY: Well thank you so much, Ariane de Vogue of ABC News.