– NEW: History of the Individual Health Insurance Mandate, 1989-2010: Republican Origins of Democratic Health Care Provision – Republicans oppose the Mar. 2010 health care reforms for many reasons, especially the provision creating an individual health care mandate which many of them find unconstitutional. However, the idea of an individual mandate originated with the conservative Heritage Foundation in 1989, and in 1993, two different Republican-introduced health care reform bills contained an individual mandate. In 2008 Barack Obama opposed the individual mandate, and in 2009 he supported legislation including it. Read more about this legislative history and see which congressional representatives who currently find the health care mandate unconstitutional previously supported legislation containing such a provision.