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Severability and Obamacare

Several state legislators have reached out to me recently with questions about the nature of severability and Obamacare. Since some Redstaters seem to have questions as well, I thought I’d explain a bit about what this means.

Most laws of large size and scope have something called a “severability clause” attached to them. Essentially, this means that if one part of a piece of large legislation is ruled unconstitutional by a court, that unconstitutional portion is “severed” from the rest of the bill — the ruling doesn’t stop the rest of the law from being enforced.

The trouble for Obamacare is that it doesn’t have a severability clause. If you’re an opponent of Obamacare, this all sounds pretty good — it indicates that if Attorney General Ken Cuccinelli is successful in his Virginia case against the individual mandate, the entire legislation could collapse. But the answer isn’t that simple.

As I discuss with Maureen Martin in our latest podcast, what’s more likely is that the Supreme Court would just eliminate the portions of the bill which are tied directly to the individual mandate.

Some people have claimed the severability clause is absent from Obamacare because the writing process of the bill was such a cluster, the clause was just forgotten. But the reality, I’m told, is that a severability clause would’ve been added in conference between the House and Senate. Except that as you know, no such conference happened — everything had to be done via reconciliation after the House passed the Senate bill. Hence, no severability clause.

But the lack of a severability clause wouldn’t necessarily result in the overrule the rest of the legislation, which mostly have to do with spending and rationing — the expansion of Medicaid, Medicare cuts, and sweeping regulatory authority — and isn’t wrapped up in the mandate. This has been the Court’s approach to other issues, such as the recent Sarbanes-Oxley ruling, another law which lacked a severability clause, where they invalidated a portion of the law and allowed the rest to stand.

Some things that the Court would likely leave unaffected would include the expansion of Medicaid, reporting obligations for businesses and hospitals, expansion of the Children’s Health Insurance Program, funds for “family planning,” expansion of state aging and disability resource centers, expanded funding for prevention programs and workplace education, reforms to inpatient rehabilitation and hospices, the addition of value-based payments for physicians and hospitals, and many provisions relating to Medicare services in rural areas… And that’s just for starters. The point is that the overwhelming portion of this legislation is not tied directly to the individual mandate.

Yet even if the Court behaved in the same way when deciding the constitutionality of the individual mandate, in practical terms, judging the mandate unconstitutional would set off a domino effect throughout the insurance industry. The mandate is the only thing which made other anti-market regulatory demands (such as guaranteed issue and community rating) workable for the industry. Despite Howard Dean’s argument that the individual mandate is unimportant (the reality is that Dean agrees with me — people will simply game the mandate) in the larger scheme of things, removing it and leaving other requirements intact would bring the entire insurance industry to the point of collapse.

So even if the lack of a severability clause doesn’t turn out to matter, elimination of the individual mandate as unconstitutional will create an untenable situation for insurers and eliminate many of the aspects of the legislation President Obama has touted. The push for further reform, at that point, would be inevitable.

Benjamin Domenech is managing editor of Health Care News and a research fellow at the Heartland Institute. Follow him on Twitter.

COMMENTS

  • Dan McLaughlin

    and that didn’t stop the Court, in an opinion by no less than Chief Justice Roberts , from striking down only a portion of the provisions regarding the composition of the Public Company Accounting Oversight Board.

    • http://www.examiner.com/x-1597-Charlotte-Law--Politics-Examiner Mike gamecock DeVine

      later

  • callawyn

    Bush’s tax cuts expire unless specifically re-authorized by congress, because they were passed under reconciliation, with its 10 year time limit. Obamacare was also passed under reconciliation. Does this mean the whole thing disappears if Congress simply fails to re-enact it?

    • baserunr

      I have been wondering the same thing, Since the ruse they used was reconciliation, then this bill should automatically sunset. Any legal talent care to weigh in? But I suppose if you can “deem as passed” anything without a vote, you can extend a sun-setting bill without a vote as well. No bills of any kind should be deemed-as-passed. Either record as unanimous consent, or specific votes, but individual votes always need to be recorded. Otherwise, there is no accountability.

    • thelibrul

      I’m pretty sure, but not 100%, that reconciliation results in a time limit of 10 years only if it increases the deficit. As long as the reconciliation bill is deficit neutral or deficit reducing there is no time limit. So, because CBO scored the legislation as decreasing the deficit there is no time limit, and because the CBO scored the tax cuts as increasing the deficit there was a time limit.

      • eastbaylarry

        Is it still saying ‘deficit neutral’?

        • thelibrul

          didn’t make it deficit increasing..basically most of the first 10 years’ deficit reduction was almost wiped out, but they still scored the next 10 as reducing the deficit around 1 trillion. They’re the scorekeepers, so that’s what counts.

  • haumea

    The legal process is merely to point out the unconstitutionality…

  • skorrent1

    Severability, the Court simply rewrites the bill into something that it thinks is constitutional? All 2300 pages of it? Why am I not surprised.

    • thelibrul

      N/T

  • renny

    But who is going to be Rep. pres. candidate in 2012?

    • callawyn

      He’d have a tough time running on the promise to repeal Obamacare having been the guy that inflicted Romneycare on Massachusetts. I don’t want to start a debate on who the next candidate should be, but from the perspective of repealing Obamacare we need to find someone besides Romney.

  • Joe_B

    Just crib the argument from Clinton v New York.

  • jdw4america

    There’s also the fact that the House didn’t originate this new tax, which the country was told wasn’t a tax at all. (How stupid do they think we are? The IRS is your enforcement agency, but it’s not a tax.) And any new tax laws must originate in the House – according to the Constitution.

    What kind of legalistic gymnastics is the left going to engage in to overcome that little “inconvenient truth?” And what kind of treachery will the radical “Supremes” sink to, to help them get away with it?

  • jeffreywturner

    If the individual mandate is struck from the law making the whole business of providing health insurance unprofitable due to forced acceptance of people with pre-existing conditions and lack of freedom to charge higher rates, then as you suggest, the need for further reform would be overwhelming. This is of course when the Dems plan to impose (propose / re-propose / re-package) the public “option” (ie: path to single-payor). Seems to me this was probably the plan all along right?

    • cari

      all along, it was very short-sighted. Six in ten Americans want this repealed. Half think it’ll boost the economy if it does get repealed.

      Now that it’s passed, and we can see what’s in it, America learns a little more everyday what an absolute disaster this bill is. I really don’t think that after its good hard look at this horrible bill, America is going to say, “Gee, let’s give government even MORE control of our healthcare system”. Ain’t gonna fly.

      • jeffreywturner

        They will use the even further escalating medical costs resulting from Obamacare to justify more government involvement / takeover, the same way they used the skyrocketing healthcare costs we now have resulting from previous government meddling to justify Obamacare.

    • kingdvb

      Reading this article and the all the great posts, I was thinking the same thing. What the left wanted all along was total government control over individual health care. BHO and the Dems told us that time and time again. They could care less that the majority of Americans did not want this. Remember – they knww best and the “people” were just too stupid to see it. They just could not get it up front, in the light of day, due to the massive public opposition. However, they always fall back on what works for them time and time again – back room deals and legislate from the bench. Go through the liberal courts (which they own) to force laws that are against the will of the people (ref AZ immigration law and CA marriage definition). Once this is done and the “funding” from the individual mandate is out, the only thing left is for the Insurance Industry to totally collapse. That is the goal. Which leaves the “government” to come to the rescue and “fix” the problem. Then they can sit back and say “you stupid people, we tried it your way and clearly it does not work”.

  • taxpayer1234

    of whether or not severability was put into the bill.

    Another flouting (“creatively ignoring”) the rules.