At long last, the U.S. Supreme Court has agreed to decide the constitutionality the “individual mandate” required by federal health care reform. If upheld, the individual mandate will require nearly all U.S. citizens to maintain private health insurance, beginning in 2014, or pay a penalty. Several courts of appeal across the nation have ruled on the constitutionality of the individual mandate in recent months, some finding it unconstitutional and some upholding it. In the most recent decision, the U.S. Court of Appeals for the District of Columbia upheld the individual mandate finding that Congress had the authority under the Commerce Clause to impose such a requirement. Seven-Sky v. Holder (D.C. Cir 2011).