The 26 states challenging the health care reform law switched their focus from the individual mandate
to the state expansion of Medicaid included in the law in a brief filed with the Supreme Court on Tuesday.
The states said the Medicaid expansion
is coercive, because it forces states to expand their Medicaid programs or risk losing federal funding. Medicaid
is a voluntary program, and has traditionally operated as a partnership between states and the federal government.
So far, federal courts have not agreed with the states’ challenge of the Medicaid expansion, but the Supreme Court agreed to review the expansion along with the states’ challenge of the individual mandate, which requires all individuals to obtain insurance or face a penalty.