[Skip to Content]
[Skip to Content Landing]
August 8, 2012

The Supreme Court's Historic Ruling on the Affordable Care Act: Economic Sustainability and Universal Coverage

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