According to
this law, states have the power to decide the "business of insurance" even over federal law.
Also
"
The Act also provides that federal anti-trust laws will not apply to the "business of insurance" as long as the state regulates in that area, but federal anti-trust laws will apply in cases of boycott, coercion, and intimidation."
I for one, feel being mandated to buy insurance or being forced to change my current plan else face a penalty could be a form of coercion?
I do remember hearing that states might have the right to opt out of federally run plan. Still plenty of food for thought for all the law professionals out there.