On September 28, 2011, the U.S. Department of Justice (DOJ) filed a cert petition requesting Supreme Court review of the 2-1 decision of the Court of Appeals for the 11th Circuit striking down the ACA as unconstitutional. This action potentially accelerates Supreme Court review of the constitutionality of requiring Americans who can afford it to maintain basic health insurance coverage, a provision that has generated conflicting opinions by various courts. The legal uncertainties associated with this mandate in turn has complicated implementation efforts at the state level. The DOJ has compiled information related to legal challenges to the ACA.