In its place, the Republican plan would substitute a refundable tax credit, to be provided to individuals who purchase health insurance (or to employers who purchase health insurance for their employees).
A month ago, on March 28, 49 House Republicans signed a brief pushing all these rhetorical buttons in urging a federal appeals court in Atlanta to overturn the entire health care law on the ground that the mandate unconstitutionally "places Americans' economic liberty at risk." Given this history, it would be surprising if Republicans were to endorse a comparably freedom-squelching measure in another bill.
But on April 15, that is essentially what they did, when all but four of the 239-member House Republican Caucus approved Rep.
The reason is that mandating MLR reduces the ability of businesses to increase profits by improving profitability (efficiency).
Take for example the need to slow or stop the rapid escalation of fees that medical service providers charge.
On Thursday June 28, 2012 the US Supreme Court upheld the constitutionality of the PPACA in a 5-4 ruling.