Supreme Court health-care decision: What you need to read The Supreme Court ruled on Thursday, in a 5-4 decision, that the individual mandate of the landmark 2010 health-care law was constitutional as a tax but not under Congress's powers under the Commerce Clause. Here's a look at some of the key passages in the Supreme Court's ruling. Click on each excerpt below to see that passage in the context of the full decision. Click here to read the full decision.