The Virginian-Pilot
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The next battlefield in the fight over health care legislation may be inside a courtroom instead of the halls of government.
While national Democrats savored victory, several Republican attorneys general, including Virginia's Ken Cuccinelli, plotted ways to do what the GOP minority in Congress couldn't: block newly passed health care legislation from taking effect.
After hinting for days that a lawsuit was pending, Cuccinelli confirmed Monday he'll sue the federal government as soon as President Barack Obama signs the reconciliation bill today that was approved Sunday by the Democrat-controlled U.S. House of Representatives.
The U.S. Senate previously passed a measure intended to overhaul the nation's health care system. It is expected to cost about $940 billion over 10 years and extend coverage to tens of millions of uninsured Americans.
Health and Human Services Secretary Kathleen Sebelius called it "probably the most important piece of middle-class legislation" since Medicaid was created more than 40 years ago.
"I think that having affordable insurance coverage for all Americans, which is one of the goals that the president had from the outset, and working with states as true partners in this effort is kind of a win-win situation," she said in a conference call Monday.
But Virginia's top prosecutor argues that a provision of the health care bill mandating that uninsured citizens purchase coverage or face potential penalties is an "unconstitutional overreach" by federal authorities.
"There has never been a point in our history where the federal government has been given the authority to require citizens to buy goods or services," Cuccinelli said in a statement Monday.
Florida Attorney General Bill McCollum and nine other Republican attorneys general also intend to file suit to overturn legislation they contend "infringes on each state's sovereignty," McCollum said in a statement.
Getting a court to grant standing to Cuccinelli or the other attorneys general, let alone a judgment to undo federal law, could be an "uphill battle," one legal scholar said Monday.
Based on the statements made by the various attorneys general, their legal strategy appears to hinge on questions about limits on congressional authority to regulate what it deems interstate commerce.
Larry Palmer, a professor of law at the College of William and Mary and a health administration professor at Virginia Commonwealth University, likened challenging the non compliance penalty to someone suing the government for not receiving a tax credit for which they didn't qualify.
"It's hard to imagine the court attacking a tax law, which is what you would be attacking," he said.
Other legal hurdles might be the formidable federal foes Cuccinelli could face and the perception that the lawsuit is "primarily a political matter," Palmer added.
"You'll have the full Justice Department down here opposing the attorney general," he said. "The guns are loaded on the other side."
Cuccinelli believes Virginia is uniquely situated because it was the first state to adopt a law exempting residents from any individual insurance coverage requirements made by the federal government. That law, the attorney general argues, gives him strong legal standing to file suit.
Since Virginia acted, Idaho has passed a similar law and Utah soon will do likewise, according to the National Conference of State Legislatures.
One sponsor of the Virginia law was Suffolk Republican Sen. Frederick Quayle, who said he believes federal health care legislation violates the commerce clause of the U.S. Constitution, which grants Congress the power to regulate trade.
A vocal opponent of the legislation when it was passed, Roanoke Democratic Sen. John Edwards said he views the bill as "useless" because federal law trumps it and the pending litigation as a "frivo lous" exercise meant to send a message rather than achieve a goal.
University of Richmond law Professor Carl Tobias said Virginia's new law "fortifies" Cuccinelli's argument that he has the responsibility to defend the state code, but he noted that federal courts historically have broadly interpreted the commerce clause.
Julian Walker, (804) 697-1564, julian.walker@pilotonline.com

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Well I find it strange that
Well I find it strange that standing up for The US Constitution makes Virginia and embarassment or a laughing stock. Was MLK standing up for civil rights an embarrassment? I find both scenarios equally important.
Probable repitition
This has probably been already said, but I don't have time to read all the posts. IMHO, Cuccinelli is grossly misusing scarce Va taxpayer's money by filing a suit he knows won't fly just for political and ideological reasons. Bobby McD is aiding and abetting him. Meanwhile Mickey D is blathering about not having the money for road work, education, medicaid, the arts, and all the other things being cut out of Virginia's budget. The priorities are blatantly obvious here! I would like to see them justify this fiscally!
Well the fat lady has sung,
Well the fat lady has sung, now she has to loose weight on a preventative health plan.
VA Hospital (government healthcare)
One of my employees missed work today. That means no pay for him and less productivity at the shop. He was at the VA Hospital for a sceduled appointment, 5 minutes with the doctor after a 4 hour wait! Welcome to government run healthcare! He tried to rescedule after he knew he would miss work but the next appointment was in 6 monthes.
How much does he pay for a visit
It's an imperfect system, just like most systems of any type in this world. If he doesn't mind, ask him how much he pays for a visit to the VA. I'll bet it is a whole lot less then if he visited a civilian hospital on a civilian health plan. An oh by the way. The VA had been underfunded for a ecade until this past year. Might take a while to get it back and functioning well after a decade of neglect. You see, what the former administration didn't realize --- when you put 50,000 or more wounded folks into a system that had been neglected (to save money and keep those taxes low because everyone knows that you cut taxes while you are fighting wars, we do that all the time ... what's that, oh we never did that before, you mean we actually paid for wars in the past and not put them on the deficit card?, my bad). You get what you pay for, don't blame the system when it has been underfunded for years. How much will you pony up to get it back to health?
That was his excuse for not
That was his excuse for not coming back to work for hours, he said he had to wait 4 hours to see the doctor? Got one over on you, eh?
This is actually
very common in military and VA hospitals. Been there, done that many times. Try not to be so smug next time especially when you have no idea what you are talking about. Einstein you are not.
So you think if you go to a
So you think if you go to a civilian doctor you are in and out like a flash, think again. So this guy saw the doc for 5 minutes, then the next patient must have waited 4 hours while the doctor took a cigarette break? The point is that it is difficult to schedule exact times given that the seriousness of the patients visit may be more acute than anticipated. Regardless, the doctors are not going to be civil servants, despite what Rush says.
Becareful what you wish for
Find a dotor who will treat you for cash money, Under ObozoCare BLack Market healthcare could become the vogue. The lines for rationed care will be long as more and more doctors opt out of the medicare system as well. Can the government force them to treat you? Are you looking forward to treatments given at the point of a gun?
That is nothing more than
That is nothing more than Fox news, Rush Limbaugh, paranoia, irrational hysteria. Where do Conservatives get the idea the government is going to take over and completely run healthcare? There is nothing in the bill that states that and no one has even talked about it.