Suddenly there are those worried about violating the Constitution? It is now 15 months, 3 days and 3.75 hours too late to start worrying about that discarded old rag.
The supremacy clause does not mean that an unconstitutional federal law supersedes the US Constitution. The Leftists never recognize the 10th amendment (as well as the 1st 2nd, 5th etc) and must regard the bill of rights as largely an annoyance because they confer state and individual rights so plainly and directly. Leftists categorically reject the concept of dual sovereignty whereby the states exercise sovereignty through the “police” power which have historically included health care law and regulation.
If the Marxists had their way, the only thing states could do would be to name the state flower.