# What is the significance of Docket no.

11-393#OPINION_3-2?

legalpdf.io · August 4, 2026

> Docket No. 11-393 corresponds to the landmark Supreme Court case National Federation of Independent Business v. Also worth reading: What is the...

Docket No.

11-393 corresponds to the landmark Supreme Court case National Federation of Independent Business v.

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Sebelius, which upheld the constitutionality of the Affordable Care Act's individual mandate as a valid exercise of Congress's taxing power.

The case was argued before the Supreme Court on March 26-27, 2012, and the final decision was issued on June 28, 2012, with Chief Justice Roberts writing the majority opinion.

The Court's decision was split, with the justices voting 5-4 to uphold the individual mandate, but 7-2 to limit the Affordable Care Act's Medicaid expansion as unconstitutionally coercive.

The case was significant as it addressed the longstanding debate over the limits of Congress's power under the Commerce Clause and the Necessary and Proper Clause of the Constitution.

Justice Ginsburg, joined by Justices Breyer, Sotomayor, and Kagan, wrote a separate opinion concurring in part and dissenting in part, disagreeing with the Court's conclusion on the Medicaid expansion.

The Court's decision had far-reaching implications for the implementation and future of the Affordable Care Act, as well as the scope of federal power over healthcare policy.

Docket No.

11-393 was one of the most closely watched and politically charged Supreme Court cases in recent history, with widespread public and media attention.

The case involved the consolidation of multiple petitions from various states and organizations challenging the constitutionality of the Affordable Care Act.

The Court's ruling on the individual mandate was particularly significant, as it marked the first time the Supreme Court had upheld a major federal social program under the taxing power.

The decision was also notable for its potentially broader implications on the scope of federal power and the limits of the Commerce Clause, which had been a subject of ongoing legal and political debate.

The case drew numerous amicus curiae (friend of the court) briefs from a wide range of stakeholders, including states, industry groups, and public policy organizations.

The Supreme Court's handling of the Anti-Injunction Act issue in the case was also closely watched, as it addressed the complex jurisdictional questions surrounding the Affordable Care Act's implementation.

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