WHAT DOES THE RULING MEAN TO ME?
The Supreme Court decision upholding President Barack Obamas health care law affects nearly every American. The law tells almost everyone they must have health coverage and guarantees it will be available to them even if they are already ill or need hugely expensive care. It helps the poor and many middle-class people afford coverage.
WHAT THE JUSTICES SAID
The high court upheld almost all of the law, including the most disputed part: the mandate that virtually all Americans have health insurance or pay a fine. The court said that fine is essentially a tax, and thats why the government has the power to impose it.
The ruling limited the laws plan to expand the Medicaid insurance program for the poor, a joint effort of the federal government and states. It says the U.S. government cannot withhold a states entire Medicaid allotment if it doesnt participate in the expansion.
HUGE POLITICAL IMPACT
The court upheld Obamas signature legislative achievement. Final word from the court amplifies the most polarizing issue of his re-election campaign against Republican Mitt Romney. GOP lawmakers and Romney have promised to repeal the law if they are in power after the November election.
The 2010 health care law will keep taking effect. Its expected to bring coverage to about 30 million uninsured people. Overall, more than 9 in 10 eligible Americans will be covered.
Starting in 2014, almost everyone will be required to be insured or pay a fine. There are subsidies to help people who cant afford coverage. Most employers will face fines if they dont offer coverage. Newly created insurance markets will make it easier for individuals and businesses to buy affordable coverage. Medicaid will be expanded for more low-income people.
The Associated Press
Jubilation, sorrow outside the Supreme Court
Partisan crowds cheered and jeered outside the Supreme Court as the decision upholding most of the Obama administration's health care law was announced. (Video by Rebecca Cohen, McClatchy Newspapers)