The Court held one part of the law unconstitutional, deciding
that the act’s expansion of the federal-state Medicaid program threatened
states' existing funding. The Court
ruled that the federal government cannot put sanctions on states' existing
Medicaid funding if the states decline to go along with the Medicaid expansion.
The four justices voting against the Constitutionality of
the health care plan, Justices Antonin Scalia, Anthony Kennedy, Clarence Thomas
and Samuel Alito, stated in their dissent that they would have struck down the
entire law, arguing that neither the government's commerce nor taxing power
justified the mandate. They opined that
by reinterpreting the insurance mandate and changing the Medicaid provision,
the majority engaged in “vast judicial overreaching" and decided “to save
a statute Congress did not write.”