The U.S. Supreme Court today ruled the Patient Protection and Affordable Care Act's individual mandate and Medicaid expansion constitutional, but struck down a provision that allowed Congress to take all Medicaid funds from a state that refuses to participate in the Medicaid expansion. States that participate in the Medicaid expansion would receive the federal financial support included in the ACA. The 5-4 decision allows the individual mandate as a tax under Congress' taxing power, and means the hundreds of other provisions in the statute also stand. "Today's historic decision lifts a heavy burden from millions of Americans who need access to health coverage," said AHA President and CEO Rich Umbdenstock. "The promise of coverage can now become a reality. The decision means that hospitals now have much-needed clarity to continue on their path toward transformation." For more on the court's decision, visit the AHA Supreme Court Update blog at www.aha.org/acablog. AHA will continue to explore the issues raised by the Court's decision on the Medicaid expansion.