A federal district court ruling that a core provision of the health care reform law is unconstitutional, if upheld eventually by the Supreme Court, won't have a major direct effect on the law's information technology provisions, according to an attorney following the case.

But the ruling--that the reform law unconstitutionally mandates individuals to obtain health insurance and face tax penalties if they do not--if upheld would make the entire law's economic sustainability questionable, says Howard Burde, principal at Howard Burde Health Law LLC in Wayne, Pa.

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