Individual mandate

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An individual mandate is a requirement by law for certain persons to purchase or otherwise obtain a good or service. [1]

Contents

United States

Militia act

The Militia Acts of 1792, based on the Constitution's militia clause (in addition to its affirmative authorization to raise an army and a navy), would have required every "free able-bodied white male citizen" between the ages of 18 and 45, with a few occupational exceptions, to "provide himself" a weapon and ammunition. [2] (See Conscription.)

The Militia Acts were never federally enforced, so their constitutionality was never litigated. [3]

Seaman relief act

An Act for the relief of sick and disabled seamen, signed into law by President John Adams in 1798, required employers to withhold 20 cents per month from each seaman's pay and turn it over to a Collector of the Federal Treasury when in port, and authorized the President to use the money to pay for "the temporary relief and maintenance of sick or disabled seamen," and to build hospitals to accommodate sick and disabled seamen. [4]

In 2012, Eliot Spitzer credited what he called "spectacular historical reporting by Professor Einer Elhauge," who was employed by the campaign to re-elect President Obama, [5] for finding 18th century legislation that Spitzer and Elhauge called individual mandates. [6] [7] However, as it was similar to workers' compensation, Social Security Disability Insurance, and Medicare, there exists some debate as to whether it can be properly called an individual mandate, because it did not require anyone to purchase anything themselves. [8]

Health insurance

2006 Massachusetts health care reform

As part of Massachusetts Governor Mitt Romney's health care reform efforts, Chapter 58 of the Acts of 2006 established a system to require individuals, with a few exceptions, to obtain health insurance either through an employer or individual purchase. [9] The penalty for not having insurance is enforced in the calculation of personal income tax. Individuals are exempt from penalty if there is no insurance plan available at a price that satisfies an affordability formula (based on income) defined by the Massachusetts Health Connector Board.

Affordable Care Act

In the United States, the Affordable Care Act (ACA) signed in 2010 by President Barack Obama imposed a health insurance mandate which took effect in 2014. Under this law, insurance companies are restricted in their ability to alter insurance rates based on the current health of the individual buying the insurance. Without incentives or a mandate, healthier individuals would tend to opt out of the system, since they make fewer claims and their premiums support the claims of the less-healthy, for the time being. Insurance companies would then raise rates to make up the lost revenue. That further increases the pressure on healthier individuals to opt out of buying health insurance, which will further increase rates, until such a market collapses. Mandated insurance is intended to prevent such a downward spiral. [10] The penalty for not having insurance that meets the minimum coverage requirements, either from an employer or by individual purchase is enforced in the calculation of personal income tax.

This was the first time the federal government had enacted a mandatory purchase requirement for all residents. [11] In 2010, a number of states joined litigation in federal court arguing that Congress did not have the power to pass this law and that the Commerce Clause power to "regulate" commerce does not include an affirmative power to compel commerce by penalizing inaction.

In 2011, two of four federal appellate courts upheld the individual mandate; a third declared it unconstitutional, and a fourth said the federal Anti-Injunction Act prevents the issue from being decided until taxpayers began paying penalties in 2015. [12] [13] [14] On June 28, 2012, the Supreme Court of the United States in the case of National Federation of Independent Business v. Sebelius upheld the health insurance mandate as a valid tax under the Taxing and Spending Clause of the Constitution. In separate opinions, a majority agreed it would not be justified under the Commerce Clause, even if combined with the Necessary and Proper Clause. [15]

On August 30, 2013, final regulations were published in the Federal Register (78 FR 53646), [16] with minor corrections published December 26, 2013 (78 FR 78256).

On December 22, 2017, President Donald Trump signed the Tax Cuts and Jobs Act of 2017, which eliminated the federal tax penalty for violating the individual mandate, starting in 2019. (In order to pass the Senate under reconciliation rules with only 50 votes, the requirement itself, at $0, is still in effect). [17]

Individual mandates on the state level

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Individual mandate enacted
Individual mandate considered Individual Mandate by State.svg
Individual mandates on the state level
  Individual mandate enacted
  Individual mandate considered

In 2018, as a response to the cancellation of the individual mandate penalty on the federal level, a number of states and the District of Columbia considered legislation to create state or local requirements. Massachusetts had never stopped its penalty for not carrying coverage, and maintained it post-ACA, in addition to the federal penalty associated with the ACA. After the 2018 dropping of the federal penalty, the state penalty continues to exist in Massachusetts. [18] New Jersey and the District of Columbia passed legislation to penalize individuals for not having health insurance starting from 2019. California, Rhode Island, and Vermont also passed similar legislation that would apply to years 2020 and onward. Other states that considered similar measures include Connecticut, Hawaii, Maryland, Minnesota, and Washington. [19] [20]

Australia

In Australia, all states and territories now have legislation that requires home and building owners to install smoke alarms. Thus, if they have not been installed, for example, in older homes and buildings, owners must procure or purchase, and install, smoke alarms. [21]

See also

Related Research Articles

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In the United States, health insurance marketplaces, also called health exchanges, are organizations in each state through which people can purchase health insurance. People can purchase health insurance that complies with the Patient Protection and Affordable Care Act at ACA health exchanges, where they can choose from a range of government-regulated and standardized health care plans offered by the insurers participating in the exchange.

A health insurance mandate is either an employer or individual mandate to obtain private health insurance instead of a national health insurance plan.

<span class="mw-page-title-main">Affordable Care Act</span> U.S. federal statute also known as Obamacare

The Affordable Care Act (ACA), formally known as the Patient Protection and Affordable Care Act (PPACA) and colloquially known as Obamacare, is a landmark U.S. federal statute enacted by the 111th United States Congress and signed into law by President Barack Obama on March 23, 2010. Together with the Health Care and Education Reconciliation Act of 2010 amendment, it represents the U.S. healthcare system's most significant regulatory overhaul and expansion of coverage since the enactment of Medicare and Medicaid in 1965.

National Federation of Independent Business v. Sebelius, 567 U.S. 519 (2012), is a landmark United States Supreme Court decision in which the Court upheld Congress's power to enact most provisions of the Patient Protection and Affordable Care Act (ACA), commonly called Obamacare, and the Health Care and Education Reconciliation Act (HCERA), including a requirement for most Americans to pay a penalty for forgoing health insurance by 2014. The Acts represented a major set of changes to the American health care system that had been the subject of highly contentious debate, largely divided on political party lines.

Since the passage of the Affordable Care Act (ACA), there have been numerous actions in federal courts to challenge the constitutionality of the legislation. They include challenges by states against the ACA, reactions from legal experts with respect to its constitutionality, several federal court rulings on the ACA's constitutionality, the final ruling on the constitutionality of the legislation by the U.S. Supreme Court in National Federation of Independent Business v. Sebelius, and notable subsequent lawsuits challenging the ACA. The Supreme Court upheld ACA for a third time in a June 2021 decision.

<span class="mw-page-title-main">Authority for Mandate Delay Act</span>

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<span class="mw-page-title-main">Fairness for American Families Act</span>

The Fairness for American Families Act is a bill that would "amend the Internal Revenue Code, as amended by the Patient Protection and Affordable Care Act, to delay until 2015 the requirement that individuals maintain minimal essential health care coverage." The bill was introduced into the United States House of Representatives during the 113th United States Congress.

The Affordable Care Act (ACA) is divided into 10 titles and contains provisions that became effective immediately, 90 days after enactment, and six months after enactment, as well as provisions phased in through to 2020. Below are some of the key provisions of the ACA. For simplicity, the amendments in the Health Care and Education Reconciliation Act of 2010 are integrated into this timeline.

<span class="mw-page-title-main">Suspending the Individual Mandate Penalty Law Equals Fairness Act</span>

The Suspending the Individual Mandate Penalty Law Equals Fairness Act is a bill that would delay for one year the imposition of penalties associated with the requirement that most residents of the United States have health insurance coverage beginning in 2014. This penalty was imposed by the Affordable Care Act. The penalty starts at 1 percent of taxable income in 2014, increasing to 2 percent in 2015 and 2.5 percent in 2016. The minimum payment in 2014 will be $95, unless that is changed by the passage of this law.

<span class="mw-page-title-main">Save American Workers Act of 2013</span>

The Save American Workers Act of 2013 is a bill that would change how the Patient Protection and Affordable Care Act defines full-time worker, by raising the threshold for offering employer-provided insurance from a minimum of 30 to 40 work hours a week. This is in order to remove the incentive some companies may have to reduce their employees' hours in order to avoid the employer healthcare mandate.

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The premium tax credit (PTC) is a mechanism established by the Affordable Care Act (ACA) through which the United States federal government partially subsidizes the cost of private health insurance for certain lower- and middle-income individuals and families. The PTC is a refundable tax credit, and may be applied directly to the cost of insurance premiums.

The individual shared responsibility provision, less formally known as the individual mandate, was the health insurance mandate imposed on individuals by the Affordable Care Act in the United States until tax year 2019. This individual mandate required most individuals and their families to have a certain minimal amount of health insurance, with certain exemptions. Otherwise, they were required to pay the individual shared responsibility payment as a fine. It was one of the many Affordable Care Act tax provisions. The federal tax penalty for violating the mandate was eliminated by the Tax Cuts and Jobs Act of 2017, starting in 2019..

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The American Health Care Act of 2017 was a bill in the 115th United States Congress. The bill, which was passed by the United States House of Representatives but not by the United States Senate, would have partially repealed the Affordable Care Act (ACA).

The Patient Protection and Affordable Care Act, often shortened to the Affordable Care Act (ACA) or nicknamed Obamacare, is a United States federal statute enacted by the 111th United States Congress and signed into law by President Barack Obama on March 23, 2010. Together with the Health Care and Education Reconciliation Act of 2010 amendment, it represents the U.S. healthcare system's most significant regulatory overhaul and expansion of coverage since the passage of Medicare and Medicaid in 1965. Once the law was signed, provisions began taking effect, in a process that continued for years. Some provisions never took effect, while others were deferred for various periods.

California v. Texas, 593 U.S. ___ (2021), was a United States Supreme Court case that dealt with the constitutionality of the 2010 Affordable Care Act (ACA), colloquially known as Obamacare. It was the third such challenge to the ACA seen by the Supreme Court since its enactment. The case in California followed after the enactment of the Tax Cuts and Jobs Act of 2017 and the change to the tax penalty amount for Americans without required insurance that reduced the "individual mandate" to zero, effective for months after December 31, 2018. The District Court of the Northern District of Texas concluded that this individual mandate was a critical provision of the ACA and that, with a penalty amount equal to zero, some or all of the ACA was potentially unconstitutional as an improper use of Congress's taxation powers.

The broccoli mandate, also known as the broccoli test, broccoli argument, broccoli hypothetical or broccoli horrible, was an argument used by those opposed to healthcare reform in the United States proposed by Barack Obama, who was then the President of the United States.

References

  1. Klein, Ezra (June 26, 2012). "George Washington's individual mandates". Washington Post.
  2. Conason, Joe (March 25, 2010). "So George Washington was a socialist, too! If the individual mandate is unconstitutional, how could our first president require every citizen to buy a gun?". Salon.com .
  3. Singer-Vine, Jeremy (December 16, 2010). "Did the Militia Act of 1792 set a precedent for Obama's health insurance mandate?". Slate Magazine. Retrieved March 10, 2019.
  4. "A Century of Lawmaking for a New Nation: U.S. Congressional Documents and Debates, 1774 – 1875". memory.loc.gov. Retrieved March 10, 2019.
  5. "Professor Einer R. Elhauge". scholar.harvard.edu. Retrieved March 10, 2019.
  6. "Spitzer: Founders would like Obamacare". The Columbian. May 5, 2012. Retrieved March 10, 2019.
  7. Elhauge, Einer. "If Health Insurance Mandates Are Unconstitutional, Why Did the Founding Fathers Back Them?". The New Republic .
    Elhauge, Einer. "A Response to Critics on the Founding Fathers and Health Insurance Mandates". The New Republic .
    Elhauge, Einer. "A Further Response to Critics on the Founding Fathers and Insurance Mandates". The New Republic .
  8. Kopel, David (April 2, 2010). "An Act for the Relief of Sick and Disabled Seamen". The Volokh Conspiracy.
  9. "Session Law, Acts (2006), Chapter 58, An Act Providing Access to Affordable, Quality Accountable Health Care". Massachusetts General Court . Retrieved July 26, 2017.
  10. Tanner, Michael (2006). Individual Mandates for Health Insurance: Slippery Slope to National Health Care (PDF). Cato Institute.
  11. In 1994, the Congressional Budget Office issued a report describing an individual mandate to buy insurance as "an unprecedented form of federal action... The government has never required people to buy any good or service as a condition of lawful residence in the United States." Seelye, Katharine Q. (September 27, 2009). "Court challenge seen in health insurance mandate". The San Francisco Chronicle.
  12. Kendall, Brent (August 13, 2011). "Health Overhaul Is Dealt Setback". The Wall Street Journal.
  13. "Court rejects health mandate". Star Tribune. Retrieved December 5, 2018.
  14. "Virginia judge rules health care mandate unconstitutional". CNN. December 13, 2010.
  15. Roberts Jr., John G. (June 28, 2012). "The Supreme Court Decision on Obama's Health Care Law". The New York Times. Retrieved July 1, 2012.
  16. "Individual Mandate Under ACA" (PDF). Congressional Research Service. March 6, 2014.
  17. The Effect of Eliminating the Individual Mandate Penalty and the Role of Behavioral Factors
  18. "The Individual Mandate Lives On In Mass. Here's A Look Ahead". www.wbur.org. Retrieved August 7, 2019.
  19. Pak, Julia (June 20, 2018). "5 States Are Restoring the Individual Mandate to Buy Health Insurance". The CheckUp by HealthCare.com.
  20. Van Horn, Scott (July 8, 2019). "California & Rhode Island Individual Mandates Signed into Law". Tango Health. Retrieved December 1, 2021.
  21. "Smoke alarms buying guide". Choice. Archived from the original on December 21, 2014.