We have been doing lots of speaking on health reform lately and the number one question we keep getting is when the Supreme Court will consider and rule on the constitutionality of health care reform. The easy answer is we don’t know. However, here’s what we do know: To date, various district courts have considered and ruled on the constitutionality of health care reform. Several of these cases are now pending at the circuit court level. If a circuit court finds all or part of the health care reform law unconstitutional, then the Supreme Court will likely hear the case. The Supreme Court begins hearing cases each year in late September and issues all decisions for that term by the following June 30th. Absent expedited treatment, this means that the soonest the Supreme Court is likely to issue a decision on the constitutionality of health care reform (assuming the issue comes before them at all) is June of 2012. However, this would be an aggressive timetable and it seems more likely that the issue would come before the Supreme Court in the 2012 term, with a decision issued by June 30, 2013 – just months before the individual mandate, employer penalties, health insurance exchanges, and other controversial provisions under the health reform law are scheduled to take effect.