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Because states run the health care system administration I guess?
Need a section 122 expert
I'm not an expert but my understanding is the federal government can step in during extreme measures.
A very quick look I found this "Section 51(ix) of the Constitution provides that the Commonwealth can pass laws for the peace, order and good government of the Commonwealth with respect to quarantine. The quarantine power has primarily been relied upon in the area of public health. Public health ranges from the regulation of disease prevention to the regulation of tobacco and alcohol. The scope of this power remains uncertain"







