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It was not justified via the commerce clause, but rather via congress's taxing powers:

The Affordable Care Act's requirement that certain individuals pay a financial penalty for not obtaining health insurance may reasonably be characterized as a tax. Because the Constitution permits such a tax, it is not our role to forbid it, or to pass upon its wisdom or fairness.

https://en.wikipedia.org/wiki/National_Federation_of_Indepen...




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