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Impact of federal and state legal trends on health care services.

Among the top anticipated legal cases in 2012 is the U.S. Supreme Court’s agreement to hear the challenges to the constitutionality of the Patient Protection and Affordable Care Act (ACA) of 2010 emanating from several federal district court rulings (Table 1).1,2 Although specific issues deal with various constitutional interpretations, such as the Commerce Clause, real-world repercussions affect clinicians, health care systems, and pharmacies. These implications concern who can provide certain services, which health care organizations or clinicians can cross state lines, and the methods and levels of reimbursement for products and services. 
 
Table 1 
 
Pending Supreme Court Decisions Related to the Affordable Care Act (ACA) in 2012