Today's Supreme Court Decision on Health Care Reform- The fight is not over and it is now up to the states

The fight over healthcare is not over.

Today's decision means that state lawmakers will have to pass legislation to establish insurance exchange that will allow uninsured people and small businesses to access quality healthcare coverage at affordable prices. If the state Legislature fails to do so, people will have to buy insurance through a federally created exchange. Additionally, the state Legislatures will be forced to make a decision on how to provide healthcare for their uninsured people. If a state turns down the billions of federal dollars it is set to receive through a Medicaid expansion, local hospital districts funded through local property taxes will continue to bear the burden of funding care for indigent people.