Massachusetts Nurses Association/National Nurses United, June 29, 2012 The Supreme Court has ruled that the national Affordable Care Act, including the individual mandate, is constitutional. The ruling came down on a 5-to-4 vote, and the surprise swing voter was Chief Justice John Roberts, appointed under George W. Bush.  While Roberts, and therefore a majority of the court, did not believe that the mandate was constitutional under the federal government's powers to regulate commerce between states, a narrow majority did believe that it was constitutional under the government's powers of taxation. The mandate having been upheld, the rest of the law was also found to be constitutional ... High