The Affordable Care Act is considered a violation of federalism because it violates the 10th Amendment and the rights reserved to the states.

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The Affordable Care Act (ACA) was upheld by the Supreme Court in National Federation of Independent Business v. Sebelius (2012), which ruled that the ACA did not violate federalism principles or the 10th Amendment. The Court found that Congress had the authority to enact most of its provisions under the Commerce Clause and the power to tax.

The Affordable Care Act Is Considered a Violation of Federalism