August 8, 2012

The Supreme Court's Historic Ruling on the Affordable Care ActEconomic Sustainability and Universal Coverage

Author Affiliations

Author Affiliations: Georgetown University Law Center, O’Neill Institute for National and Global Health Law, Washington, DC.

JAMA. 2012;308(6):571-572. doi:10.1001/jama.2012.9061

On June 28, 2012, the Supreme Court handed down its historic ruling in National Federation of Independent Business v Sebelius, upholding the Affordable Care Act (ACA), with the sole exception that Congress cannot penalize states that decline to expand Medicaid.1 Does the court's decision ensure the ACA's economic viability, and can it fulfill the promise of universal coverage?2,3