On January 31, 2011, a federal court in Florida struck down the entire health care reform law, ruling that Congress does not have the authority to require individuals to buy insurance.

The Florida court also addressed an argument that the health care reform law's expansion of Medicaid infringed on state sovereignty. However, the court agreed with the federal government on this issue, holding that the law does not infringe on state's rights because state participation in Medicaid is optional. 

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