* Law has wide ramifications for health sector
* White House confident law will be upheld
* Other legal challenges pending before appeals courts
(Adds White House reaction, reaction from group that sued)
By Jeremy Pelofsky and James Vicini
WASHINGTON, June 29 A U.S. appeals court on
Wednesday upheld President Barack Obama's signature healthcare
law, handing a victory to the White House by ruling Congress
had the power to require that Americans buy insurance.
The healthcare ruling was the first by an appeals court,
and legal experts have said they expect the issue to ultimately
be addressed by the Supreme Court later this year or next year,
a critical time for Obama as he seeks re-election in 2012.
The U.S. Court of Appeals for the 6th Circuit, based in
Cincinnati, ruled that the decision by Congress to require
Americans to buy healthcare insurance in 2014 or face a fine
was legal under the Commerce Clause of the U.S. Constitution.
"Call this mandate what you will -- an affront to
individual autonomy or an imperative of national health care --
it meets the requirement of regulating activities that
substantially affect interstate commerce," wrote Judge Jeffrey
Sutton who was appointed in 2003 by President George W. Bush.
The law, which aims to provide medical coverage to more
than 30 million uninsured Americans, has wide ramifications for
the health sector, affecting health insurers, drugmakers,
device companies and hospitals.
The law is likely to be a major issue during Obama's
re-election campaign and congressional elections. Republicans,
who have attacked it as a form of intrusive government power,
have sought to repeal the law in Congress, state legislatures
and the federal courts.
While Wednesday's decision is an initial victory for the
Obama administration, there are still other significant legal
challenges pending, including two in which federal judges ruled
the insurance mandate unconstitutional. Decisions in those
cases are expected in the coming weeks.
The ruling stemmed from a lawsuit filed by The Thomas More
Law Center in Michigan on the day Obama signed the measure into
law. It argued that Congress could not regulate how Americans
pay for healthcare services and insurance.
A federal judge in Michigan upheld the law as legal and the
'SUBSTANTIALLY AFFECTS INTERSTATE COMMERCE'
By a 2-1 vote, the appeals court affirmed that ruling. It
said those who opt out of buying health insurance were still
engaging in commerce because they were paying for healthcare
services on their own and thus the law was constitutional.
"Congress had a rational basis for concluding that, in the
aggregate, the practice of self-insuring for the cost of
healthcare substantially affects interstate commerce," the
court majority ruled.
"The provision regulates active participation in the
healthcare market, and in any case, the Constitution imposes no
categorical bar on regulating inactivity," wrote Judge Boyce
Martin, who was appointed by President Jimmy Carter in 1979.
White House senior adviser Stephanie Cutter said the
administration was pleased with the ruling.
"There are a number of cases regarding the Affordable Care
Act that will continue to be heard in courts nationwide, and at
the end of the day, we are confident the constitutionality of
these landmark reforms will be upheld," she said.
A representative for the Thomas More Law Center, which
filed the lawsuit on behalf individuals who said they were
harmed by the law, said they were reviewing the appeals court
ruling and had no further immediate comment.
Judge James Graham, the member of the panel who dissented
from the decision, said that despite runaway healthcare costs
being a national problem, that "does not mean that Congress can
try to solve them in any fashion it pleases."
"If the exercise of power is allowed and the mandate
upheld, it is difficult to see what the limits on Congress's
Commerce Clause authority would be. What aspect of human
activity would escape federal power?" wrote Graham, appointed
in 1986 by President Ronald Reagan.
The case is Thomas More Law Center v. Barack Obama, No.
10-2388 in the U.S. Court of Appeals for the Sixth Circuit.
(Additional reporting by Donna Smith; editing by Mohammad