On Friday, November 19, 2010, the American Nurses Association (ANA) filed an amicus (friend of the court) brief challenging several state officials’ meritless claim that the landmark Affordable Care Act (ACA) violates the United States Constitution. The case, State of Florida et al. vs. U.S. Department of Health and Human Services et al, is pending in the U. S. District Court for the Northern District of Florida. The plaintiffs now include attorneys general and governors from 20 states. The issues in the case are whether the requirement that individuals carry health insurance and the expansion of Medicaid coverage to persons who earn up to 133% of the federal poverty level are constitutional.