With the Patient Protection and Affordable Care Act concerning national health insurance now before the Supreme Court, we note an issue that received very little attention before it was argued on March 26 and the procedure developed for its consideration.

Despite the debate about the constitutionality of the insurance mandate (its severability if unconstitutional, and whether the ultimate costs to the states for participating in Medicaid is a violation of the general welfare or “spending” powers, issues that are also before the Court), few have commented about the jurisdictional issue. It may serve as a basis for the decision and could keep the court from becoming the center of the political storms that surrounded Gore v. Bush and Citizens United v. Federal Election Commission for either its action or inaction.

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