---
title: Supreme Court Upholds Health-care Reform Law
description: The Cassling News Room features articles on the latest industry news and happenings.
---

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## [Supreme Court Upholds Health-care Reform Law](https://www.cassling.com/news-room/supreme-court-upholds-health-care-reform-law)

The U.S. Supreme Court on Thursday morning narrowly upheld the Patient Protection and Affordable Care Act (PPACA), ruling that the individual mandate to buy health insurance – the key provision of the health-care law – is constitutional under Congress’s taxing authority.

The Court’s landmark 5-4 decision ends two years of legal uncertainty and means that implementation of the 906-page law will proceed. 

At the heart of the PPACA is the requirement that all Americans – with a few exceptions – must obtain health insurance before the year 2014 or pay a financial penalty with their tax returns. 

The ruling did, however, restrict one other key provision: the expansion of Medicaid, which is the federal government’s health insurance program for low-income and sick people. The ruling said the federal government could not penalize states that opt out of the expansion by withdrawing their existing Medicaid funding.

In a statement issued after the ruling, American Hospital Association President and CEO Rich Umbdenstock discussed how the ruling impacts hospitals. “The decision means that hospitals now have much-needed clarity to continue on their path toward transformation,” he said. “But transforming the delivery of health care will take much more than the strike of a gavel or the stroke of a pen. It calls for the entire health-care community to continue to work together, along with patients and purchasers, to implement better coordinated, high-quality care.”  
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Click here to access a copy of the Court’s 193-page decision](https://www.cassling.com/hs-fs/file-672832119-pdf/Pdf/11-393c3a2-1.pdf).

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