Commerce Clause Limits are Dead, Dead, Dead
I will disagree with most commenters -- there is no support for the commerce clause implying any kind of regulatory limitations in this decision. Any discussion of the commerce clause and what the Supreme said about it is irrelevant. By this decision, Congress can essentially mandate any activity it pleases as long as it imposes a financial penalty for an individual who ignores the mandate. SCOTUS upheld that the commerce clause has limits, and then made these limits irrelevant.