"Nineteen rural state hospital associations have signed onto a letter urging President Obama to nix the healthcare reform law's special deal for Massachusetts hospitals in his 2013 budget proposal next month. The hospital groups say a provision in the law shifts $367 million annually in Medicare funding from 49 states to the Democratic-led commonwealth. The provision's aim was simply to increase Medicare payments for a single, 15-bed hospital in Nantucket but ended up raising payment rates for the state's 60 urban hospitals by 8 percent."

"The House Ways and Means Committee voted Wednesday to repeal the healthcare law’s controversial CLASS program, clearing the way for a floor vote next month. Only one committee Democrat — Rep. Ron Kind (D-Wis.) — broke party lines to vote in favor of repeal. Three Democrats voted for repeal when the Energy and Commerce Committee passed the CLASS repeal bill in November."

"Twenty-six states on Tuesday asked the Supreme Court to overturn the health care reform law’s mandatory state expansion of the Medicaid program, a sleeper issue in the health care reform lawsuit that could determine how much leverage the federal government has with the states on any issue. The states, led by Florida, argue that the federal government can’t force them to expand the Medicaid program, which has operated as a partnership between the feds and the states, as part of the 2010 health reform law. They argue that the Medicaid expansion is possibly more coercive than the law’s individual mandate."

"The Obama administration is headed into a Supreme Court case over healthcare reform without a clear answer to significant questions about Congress’s power... Several lower courts have said the mandate falls within the bounds of the Commerce Clause, but even they have been wary about the Justice Department’s inability to clearly define a limit on Congress’s power."