In my most recent post of this series, I argued that the individual mandate may be unconstitutional because Congress may only regulate “economic activity” that has substantial economic effects, and because deciding whether to engage in economic activity is not economic activity in and of itself. However, the economic activity requirement may not always apply. Analyzing the Court’s decision in United States v. Lopez, Justice Scalia concluded that “Congress may regulate even noneconomic local activity if that regulation is a necessary part of a more general regulation of interstate commerce.” Gonzalez v. Raich, 545 U.S. 1, 37 (2005) (Scalia, J., concurring in the judgment) (citing United States v. Lopez, 514 U.S. 549, 561 (1995)).
Under this reading, regulation of intrastate noneconomic activity can only be upheld if it is an “‘essential part’” of Congress’s regulation of an interstate market whose elimination would “‘undercut’” the regulatory scheme. Id. at 36 (Scalia, J., concurring in the judgment) (quoting Lopez, 514 U.S. at 561). Justice Scalia maintains (correctly, I think) that this power is derived from the Necessary and Proper Clause, id. at 34, 37-38 (Scalia, J., concurring in the judgment), which gives Congress the power to “[t]o make all Laws which shall be necessary and proper for carrying into Execution the [enumerated] Powers.” U.S. Const. art. I, § 8, cl. 18. According to precedent, regulations that are “‘reasonably adapted’” “means” to a “legitimate end under the commerce power” should be upheld under the Necessary and Proper Clause. Raich, 545 U.S. at 37 (Scalia, J., concurring in the judgment) (quoting United States v. Darby, 312 U.S. 100, 121 (1941)); see also McCulloch v. Maryland, 4 Wheat. (17 U.S.) 316, 421 (1819).
Moreover, it’s far from clear that the circumstances surrounding car insurance and health insurance are analogous. You only need to buy car insurance if you drive a car on public roads—a privilege. The government can require you to do a number of things if you want to avail yourself of a privilege—for instance, you also need a driver's license in order to drive on public roads, and you need a license in order to practice medicine or sell alcohol. But under the individual mandate requirement, if you’re alive and you don’t already have health insurance, you must buy it. You can't choose whether or not to avail yourself of a privilege before the obligation to buy insurance attaches.
However, even if subsidiaries operate wholly intrastate, their parent companies are often national—which probably generates a sufficiently interstate component to the health insurance market. I doubt that the intrastate insurance exchanges would undermine that interstate nexus. The phrase “interstate commerce” has become somewhat synonymous with the phrase “national economy.” See, e.g., United States v. Morrison, 529 U.S. 598, 610-11 (2000) (quoting Lopez, 514 U.S. at 573-74 (Kennedy, J., concurring)); see also Lopez, 514 U.S. at 563-64 (majority opinion); id. at 626 (Breyer, J., dissenting). I don’t condone this definitional blurring (consider in particular that the text of the Commerce Clause doesn’t actually contain the phrase “interstate commerce” but simply gives Congress the power “[t]o regulate Commerce . . . among the several states,” making this drift in meaning even more dubious), but I suspect that it’s a fact of life. As such, I don’t think that the challengers are pressing this argument in their litigation, probably because they feel that the courts would be unreceptive.
In my next post, I’ll give some of my own thoughts on the proper interpretation of the Commerce Clause.
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