The United States Court of Appeals for the Sixth Circuit in Cincinnati has affirmed a U.S. District Court ruling in Michigan that the health care reform law's "individual mandate" on individuals to obtain health insurance is constitutional.

The district court in Michigan was one of three lower federal courts to rule the mandate as constitutional, while two other lower federal courts have ruled it unconstitutional. The ruling is the first appellate court decision on aspects of the reform law, with decisions expected soon from federal appeals courts in Atlanta and Richmond, Va., before the issues fall in the lap of the Supreme Court.

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