This historic bill (H.R. 3590), officially titled the "Patient Protection and Affordable Care Act," went on to be signed into law (Public Law 111-148) by President Obama on March 23, 2010. Popularly known as "ObamaCare," this bill essentially completed the government takeover of the American healthcare system that was begun with Medicare and Medicaid in 1965. The law creates 159 new government agencies, which will inevitably drive private healthcare insurers out of the market. This would create an exchange in each state for the purchase of government-approved health insurance, mandate that most individuals purchase health insurance, fine individuals who don't purchase health insurance, subsidize the purchase of health insurance, require employers with 50 or more employees to provide healthcare coverage or pay a fine if any employee gets a subsidized healthcare plan from the exchange, and prohibit insurance companies from denying coverage based on pre-existing conditions.
The federal government has no constitutional authority to require individuals to purchase health insurance or to manage the healthcare industry.