In the 2,700 pages and 450 provisions of the health reform law, the Supreme Court will hear arguments on just four issues: the Anti-Injunction Act, individual mandate, severability and Medicaid “coercion.” Congress’ authority to “lay and collect … taxes to pay the debts and provide for the common defense and general welfare of the United States” and to “regulate commerce … among the several states” has been broadly interpreted, including when imposing conditions on individuals or state. But both sides of the health care reform issue agree the Court’s decisions on these four matters could have implications for the regulatory ability of the federal government to set long-term national policy goals in areas such as the environment, education and the workplace. 

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