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Sean McBride

@seanmmcbride

Past Med Staff Pres @MSKCancerCenter; Chief, Manhattan Service, @MSK_RadOnc; GU/HN Ca; hubs; dad to 3; πŸ³οΈβ€πŸŒˆ

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Latest posts by Sean McBride @seanmmcbride

True...not necessarily. But the court has increasingly liked to limn the logical limits of any holding that frontally answers the QP. Alito's colloquy with Slaughter's attorney is an example of that.

18.12.2025 19:40 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

6e) And would represent the proverbial β€œgun to the head” for the states that Chief Justice Roberts warned against in his majority opinion in NFIB v Sebelius.

18.12.2025 19:35 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

6d) But even if one accepts the facially absurd proposition that clear notice was given as to rule proposed by HHS, it would clearly be coercive of both the hospitals and the states.

18.12.2025 19:35 πŸ‘ 1 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

6c) Here the Trump administration would be using the same power to limit say New York or Rhode Island’s choices to expand non-discrimination protections beyond the floor set by federal civil rights statutes in an analogous manner.

18.12.2025 19:35 πŸ‘ 2 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

6b) Justice Alito, in his dissent in Moyle, decried the government’s attempt to use its Spending Clause authority to β€œlimit Idaho’s choices about what conduct to criminalize”,

18.12.2025 19:35 πŸ‘ 0 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

6) Beyond this, many states have gender identity non-discrimination statutes in place for public accommodations and patient care. Nowhere in the Soc Security Act did Congress clearly reserve the right, or given states notice of its intention, to rollback local non-discrimination statutes.

18.12.2025 19:35 πŸ‘ 1 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

5d) Here, not only did Congress not make clear its intention to allow CMS, through rulemaking, to ban hospitals from providing whole categories of treatment, in Section 1801 it explicitly disavowed such proscriptive powers.

18.12.2025 19:35 πŸ‘ 0 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

5c) On the first prong, the Supreme Court in Pennhurst State School & Hospital v. Halderman held that β€œif Congress intends to impose a condition on a grant of federal money, it must do so unambiguously”.

18.12.2025 19:35 πŸ‘ 0 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

5b) As part of such a contract, Congress must give states and private parties (e.g. the hospitals) 1) clear notice as to their obligations under the contract and 2) not unduly coerce them into acceptance of such obligations.

18.12.2025 19:35 πŸ‘ 0 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

5a) Further, because the Medicare and Medicaid amendments were passed pursuant to Congress’ Article I spending clause authority, the Courts treat hospitals and states that participate in these programs as having entered into a contract with CMS.

18.12.2025 19:35 πŸ‘ 0 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

4) A Trump CoP banning GAC for minors would also arguably violate the Administrative Procedure Acts prohibition against arbitrary and capricious regulation

18.12.2025 19:35 πŸ‘ 0 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

3c) regardless of whether the β€œservice is covered under the state” Medicaid plan for adults. GAC fits within multiple benefit categories. And every major US healthcare organization has endorsed GAC for minors as a medically necessary standard of care to β€œameliorate” gender dysphoria.

18.12.2025 19:35 πŸ‘ 0 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

3b) This provision requires states that sign on to Medicaid to cover, for beneficiaries under the age of 21, any service that fits within one of the benefit categories and is medically necessary to "correct or ameliorate" a physical or mental health condition β€œdiscovered by the screening service”,

18.12.2025 19:35 πŸ‘ 1 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

3a) Title XIX of the SSA contains within it an Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) provision.

18.12.2025 19:35 πŸ‘ 1 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

2) Second, Title 18 of the Social Security Act, in its first section (1801), forbids β€œany Federal officer or employee” from β€œexercis[ing] any supervision or control over the practice of medicine or the manner in which medical services are provided”. This rule CLEARLY violates that.

18.12.2025 19:35 πŸ‘ 0 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

Exactly!!

1) from a statutory interpretation standpoint, this rule cannot stand. When you look text that confers to HHS the ability to promulgate CoPs, this rule would violate ejusdem generis and the major questions doctrine (which one could view as a canon of construction). Long thread...

18.12.2025 19:35 πŸ‘ 1 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

Thanks, Julian! FWIW, since we're being forced to draw a line and anchor it in the Constitution, I completely agree with you. But I'm a congressional maximalist on this question as well. I believe the statutory authority to restrict the Presidential right of removal is plenary and unfettered.

18.12.2025 19:18 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

Not so sure about that. I do think you have to reckon with that question (where does Congress's ability to condition removal stop?) as a logical consequence of the argument made by Slaughter. My answer is the same as Julian's: the constitution permits Congress/Pres to do as they please here :)

18.12.2025 19:14 πŸ‘ 1 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

Ha! I come from a family of lawyers and lawmakers, so I try to keep up :)

18.12.2025 19:08 πŸ‘ 2 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

In other words, short of saying congress has plenary authority to restrict removal, what’s the most constitutionally principled way to answer Alito's oral argument question of: could congress restrict the presiden’s ability to remove secretary x? What about secretary y?

18.12.2025 11:44 πŸ‘ 2 πŸ” 0 πŸ’¬ 4 πŸ“Œ 0

If one had to draw a line beyond which Congress could not cabin a president’s removal authority, is there constitutional context or structure that best shows us where that line should sit?

18.12.2025 11:44 πŸ‘ 2 πŸ” 0 πŸ’¬ 2 πŸ“Œ 0

Question: looking at the text of Article I, do you see a bright -line restriction on Congress’s ability to require for cause removal should it so choose?

17.12.2025 13:52 πŸ‘ 2 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

For instance, imagine how an excessively strict non-delegation stance could’ve hampered Treasuries response to the Great Recession.

09.12.2025 14:10 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

This is the kind of ”black swan” logic of legal analysis that constrains the other branches in all sorts of predictable and unpredictable ways. Holdings that intentionally zero out the risk of extreme tail events prevent the govt from adequately responding to far more common real world exigencies

09.12.2025 14:10 πŸ‘ 1 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

2/n Putting aside appointments, his substantive span of control is limited to foreign affairs (e.g. treaty making) and defense (commander in chief clause). These depts, and only these, clearly execute on those powers. @jdmortenson.bsky.social #SupremeCourt

09.12.2025 11:40 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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1/n In Slaughter, the Chief brings up this question. From a purely textual standpoint, I'm not sure why the answer isn't simply DOD, Veterans Affairs, State, and maybe Homeland Security. Article 2, Section 2 lays out a short list of the explicit powers conferred on the President.

09.12.2025 11:40 πŸ‘ 1 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0
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Proud to March with @mcbride.house.gov in the Hockessin 4th of July Parade.
Was a family affair.

05.07.2025 17:44 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

This enables the court to avoid embracing the gov’s arg that universal injunctions can never be issued. And there’s a β€œhow convenient” to this.

You know that right-wing judge who keeps issuing nationwide injunctions re: abortion? Well, he’s interpreting a different statute, the APA. Doesn’t apply.

28.06.2025 20:48 πŸ‘ 88 πŸ” 14 πŸ’¬ 2 πŸ“Œ 3
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I’m going to owe my kids
β€œcurse word” money when they read this article. Proud, as always, of Aunt SaSa :)
@mcbride.house.gov

t.co/SILhbs74fp

06.05.2025 22:29 πŸ‘ 2 πŸ” 1 πŸ’¬ 0 πŸ“Œ 0
"Suspect Spheres, Not Enumerated Powers: A Guide for Leaving the Lampp" by Richard Primus and Roderick M. Hills Jr. Despite longstanding orthodoxy, the Constitution’s enumeration of congressional powers does virtually nothing to limit federal lawmaking. That’s not because of some bizarrely persistent judicial failu...

this piece from @rickhills.bsky.social and @richardprimus.bsky.social is excellent on the big picture background, w concrete case studies from early republic and early 20c repository.law.umich.edu/mlr/vol119/i...

29.03.2025 02:20 πŸ‘ 4 πŸ” 2 πŸ’¬ 1 πŸ“Œ 0