The Patient Protection and Affordable Care Act (PPACA) – better known as Healthcare Reform, or even "Obamacare" – continues to make news. The recently-passed act to keep the government open eliminated the free choice voucher – a requirement that would have placed an additional burden on employers in the administration of their health plans by requiring them to give some employees a voucher for the amount the employer pays for an employee's insurance that could be used by the employee to purchase insurance on the state exchange.

The Republican members of Congress appear committed to dramatic change or repeal of the law. President Obama has said he is open to change, but without specifics. In the other branch of government – the judiciary – the cases that have dealt with the constitutionality of the PPACA are worth noting.