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Today, the U.S. Supreme Court (Court) issued its long awaited decision on the Patient Protection and Affordable Care Act (the Act), upholding the constitutionality of the individual mandate provision of the Act as a valid exercise of Congress's power under the Taxing Clause and limiting the Medicaid expansion by striking, as an unconstitutional exercise of Congress's power under the Spending Clause, the provision of the Act that authorizes the U.S. Department of Health and Human Services Secretary (the Secretary) to withdraw existing Medicaid funds from States that fail to implement the expanded Medicaid coverage requirements in the Act
