In Washington, the health care reform battle rages on — and the MLR requirement remains one of the legislation’s most provocative points. In August, a three-judge panel from the Supreme Court’s 11th Circuit Court decided in favor of the 26 states that demanded a repeal of PPACA’s individual mandate. The ruling declared the mandate’s requirement that all Americans purchase government-approved health insurance to be unconstitutional, but allowed the rest of the law to remain intact.
The 26 states that originally filed suit appealed this ruling, arguing that the mandate was critical to the Act and, once removed, would render it unworkable. In the face of their new demand to repeal the whole package, the Obama administration has also appealed, stating that all aspects of the 2,700-page legislation are Constitutional.