"I know the debate over this law has been divisive. I respect the very real concerns that millions of Americans have shared. And I know a lot of coverage through this health care debate has focused on what it means politically. Well, it should be pretty clear by now that I didn't do this because it was good politics. I did it because I believed it was good for the country. I did it because I believed it was good for the American people...The highest court in the land has now spoken. We will continue to implement this law. And we'll work together to improve on it where we can. But what we won't do -- what the country can't afford to do -- is refight the political battles of two years ago, or go back to the way things were. With today's announcement, it's time for us to move forward -- to implement and, where necessary, improve on this law."
President Barack Obama
"What the Court did not do on its last day in session, I will do on my first day if elected President of the United States. And that is I will act to repeal Obamacare. Obamacare was bad policy yesterday. It's bad policy today. Obamacare was bad law yesterday. It's bad law today. Let me tell you why I say that. Obamacare raises taxes on the American people by approximately $500 billion. Obamacare cuts Medicare, cuts Medicare, by approximately $500 billion. And even with those cuts, and tax increases, Obamacare adds trillions to our deficits and to our national debt and pushes those obligations on to coming generations. Obamacare also means that for up to 20 million Americans, they will lose the insurance they currently have, the insurance that they like and they want to keep. Obamacare is a job killer. Businesses across the country have been asked what the impact is of Obamacare. Three quarters of those surveyed by the Chamber of Commerce said Obamacare makes it less likely for them to hire people. And perhaps most troubling of all, Obamacare puts the federal government between you and your doctor."
Republican presidential candidate Mitt Romney
"Today's ruling by the Supreme Court to uphold the basic provisions of the Affordable Care Act is a historic step forward for our country. Healthcare for each and every individual is not a privilege; it's a right. This morning's decision is a victory for all Americans, and I could not be prouder. By upholding the Affordable Care Act the Supreme Court ensured 3.1 million young people - including 435,000 young Californians - will maintain their coverage. The court's ruling protects Americans with preexisting conditions and provides them with access to the safe and secure healthcare options that were once out of reach. By ruling that those people who can afford to buy insurance have an obligation to do so, the Court has reaffirmed the bedrock principle of personal responsibility. And most importantly, the court's ruling moves our nation one step closer to the ultimate goal of providing healthcare for all. More than 30 million Americans will gain affordable health care with the enactment of this bill. This is a momentous achievement that should be rightly celebrated. Despite today's victory, our work is not done. America still spends more than any other nation for health insurance. The Affordable Care Act provides important protections to curb the skyrocketing cost of healthcare and lessen the impact on the nation's budget. In fact, according to official estimates, the law will lower the federal deficit by $143 billion by 2019. It is now incumbent on our nation's leaders to ensure the successful implementation of this bill. We must halt the opponents of progress who seek to 'repeal and replace' this important step towards universal coverage. I applaud the Supreme Court's leadership and decision to put the American people ahead of partisan politics. Their ruling to uphold the Affordable Care Act reaffirms our country's commitment to the health and financial security of our people."
Los Angeles Mayor Antonio Villaraigosa
"Today's decision is a historic victory for Californians, for the President, and for the country. The Affordable Care Act repairs a healthcare system badly in need of reform and ensures that every American has access to affordable health care. We never doubted the constitutionality of this law, and it is already making a difference in the lives of millions of Californians."
California Attorney General Kamala D. Harris
"The Supreme Court upheld the core of the Affordable Care Act today, the individual mandate, ruling that this critical component to health care reform complies with our Constitution. I agree with and applaud the Supreme Court's decision. Preserving the individual mandate is the best way to ensure Americans can access affordable and quality health care. With today's ruling by the highest court in the land behind us, it's time to move forward, roll up our sleeves, and work together to get our economy back on track and create jobs. I hope my Republican colleagues in Congress will join me in this effort, rather than focusing on new attempts to try to strip Americans of their health care rights."
Representative Loretta Sanchez (CA-47)
"Today's historic decision by the Supreme Court to uphold the constitutionality of the Affordable Care Act is extremely welcomed news. The American people can now rest assured and claim today as a victory, as everyone in our country will receive quality healthcare that each person is entitled to. When President Obama promised the American people that he would create a system that provided healthcare at a minimum cost - he did just that. With the Affordable Care Act, healthcare is once again a basic human right that allows families to receive quality care without having to spend every penny they earn. I'm pleased that the Supreme Court held firmly to their principles and did not politicize this important decision. Now, the Affordable Care Act can do what the American people need it to do, including providing millions of Americans access to cancer-screenings like mammograms and colonoscopies, ensuring coverage for millions who have preexisting conditions and youth who remain on their parent's coverage; and finally give seniors a stronger Medicare program."
Representative Karen Bass (CA-33)
"I am very pleased to see that the Supreme Court has upheld the health care reform law. These hard-passed reforms will be beneficial to the country - already, 17 million children with pre-existing conditions can no longer be denied coverage by insurers, seniors have received additional help with prescription drug prices, college graduates can stay on their parents policies, small employers and the self-employed will soon be able to purchase health insurance at bulk discount rates, and millions of Americans will have health insurance for the first time. I am also pleased for another reason: The Court was at risk of becoming yet another partisan institution if it threw out decades of precedent. The Chief Justice chose a different legacy, and this was not only the correct legal decision, it was also enormously important to maintaining the independence and reputation of the Court."
Representative Adam Schiff (CA-29)
"This is a landmark decision that will put an end to unnecessary delay and allow us to deliver on the promise of this historic law by expanding health coverage to millions of uninsured Californians. Here in California, we have moved quickly to implement many of the important reforms and consumer protections allowed under the ACA, including measures that require health plans to cover children, prohibit insurers from cancelling policies when the policyholder gets sick, and allowing dependents to remain on their parent's coverage until age 26. While much progress has been made there is still so much left to achieve before 2014. The days of people having to choose between buying food and seeking medical care are coming to an end. With today's Supreme Court's decision, California stands ready to implement the president's vision and begin charting a new course for our health care system in this state.
U.S. Senator Ed Hernandez (D-CA)
"The Supreme Court's ruling is a victory for America's families, who deserve affordable health care. The decision is great news for the millions of Californians who have already seen the benefits of this law - including the six million who now have access to free preventive health services, 355,000 young adults who now have coverage on their parents' health plans and 320,000 seniors who have received help in paying for their prescription drugs. Now Americans will have the certainty of knowing they won't be denied coverage because of a preexisting condition. Women won't be charged a higher premium because of their gender. And families struggling with serious illnesses will not face lifetime limits on coverage. We will continue to fight Republican efforts to repeal these important health benefits while we work to make sure every American has access to quality, affordable health care."
U.S. Senator Barbara Boxer (D-CA)
"Today's ruling by the Supreme Court is a victory for all Californians. The court's decision to uphold the constitutionality of the landmark Affordable Care Act will ensure that the president's efforts expand access to affordable, quality health care for individuals regardless of age, income, or pre-existing conditions will continue moving forward. As the author of legislation establishing California's Health Care Exchange, I am committed to continuing our work to reform California's healthcare system to ensure that millions of Californians can get coverage that is comprehensive and affordable and doesn't discriminate based on pre-existing conditions. President Obama and Congressional Democrats showed great leadership in enacting the Affordable Care Act and today's decision reinforces that leadership. California has been the national leader on implementing federal healthcare reform, and today's decision affirming the wisdom and constitutionality of the Affordable Care Act means we will continue to move full-speed ahead."
Assembly Speaker John A. Perez (D-Los Angeles)
"From the beginning, we have both agreed and disagreed with portions of the Affordable Care Act (ACA). CMA vigorously supported the individual mandate to ensure universal insurance coverage for the millions of uninsured Californians and the reforms on the for-profit insurance industry, and we are pleased that those reforms were upheld. However, there are serious flaws in the ACA that do not address the underlying problems of patient access to physicians that need to be addressed by Congress and the President immediately. Expanding coverage to more Californians, putting an end to insurance industry abuses, and support for primary care are essential for our patients and the future of medicine. Despite these wins, the ACA builds reform on the broken foundations of Medicare and Medicaid without addressing the underlying problems and inadequate funding. CMA will continue to work to fix those ills. There is an enormous amount of work yet to be done. We'll be active in helping to implement the State Health Benefit Exchange as a fair marketplace of appropriate plan options and we will continue to help our patients take advantage of the coverage expansions offered as part of the ACA."
California Medical Association President James T. Hay, M.D.
"We applaud the Supreme Court's decision. We can now move forward with the hard work of implementing the law and ensuring access to health care for all Americans. The Affordable Care Act will greatly benefit close to 2.5 million Asian Americans, Native Hawaiians and Pacific Islanders across the country who will be eligible for health coverage for the first time by January 1, 2014. In addition, one in 10 Asian Americans and one in eight NHPIs will gain health coverage through the Medicaid expansion alone."
Asian American Justice Center (AAJC) President and Executive Director Mee Moua.
"I am extremely disappointed in today's ruling. The president's health care bill, one of the most intrusive bills this nation has ever seen, was a huge step toward a Washington-controlled health care system that rations care, limits choice, and reduces quality, innovation, and competition. Today's disappointing ruling means it is now on Congress to reform the most egregious aspects of this law. In its current form the president's health care law is bad news for patients, doctors and small businesses. This law fails to deliver the reforms needed to fix the health care system, while creating a massive new entitlement program. The $2 trillion price tag (and rising) is "paid for" by taxpayers (who will see more than half a trillion in new taxes) and seniors (who will see $500 billion in cuts from Medicare), as well as by adding to the deficit. The administration's approach - reckless spending and government takeovers - is driving up health care costs and making it harder for small businesses to hire. This health care law has already broken a number of promises. Nonpartisan researchers have found that millions of Americans will lose their insurance coverage; so if you like your coverage, you can't keep it. Premiums continue to rise, despite promises to reduce them by up to $2,500 per family, per year. The 4 million jobs promised by Pelosi have failed to come to fruition. In fact, the law's enactment has contributed to our sluggish economy and high unemployment rate. Americans want the freedom and opportunity to make health care choices for their family. I am committed to working with my colleagues to achieve this objective by repealing this flawed law and beginning work on common sense solutions to lower health care costs."
Representative Ed Royce (CA-40)
"I applaud the Supreme Court's ruling this morning to uphold the Affordable Care Act, the signature piece of legislation of President Obama's first term. More than 44 million Americans without insurance will not lose their opportunity to get health care or be denied coverage due to a pre-existing condition, and those who are insured no longer face the threat of losing their coverage if they get sick. History always looks kindly on those who show strength and leadership in the face of extreme adversity. Simply put, President Barack Obama's Affordable Care Act is one of the most important pieces of legislation of the last fifty years - legislation that Mitt Romney and the Republicans fought at every turn. The slim majority of the Court's Justices that upheld health care reform today should serve as a lesson on the vital importance of reelecting our President and keeping the extremists Mitt Romney has pledged to appoint off of the bench."
Los Angeles County Democratic Party Chair and California Democratic Party Vice-Chair Eric C. Bauman
"Today's Supreme Court decision sets the stakes for the November election. Now, the only way to save the country from ObamaCare's budget-busting government takeover of health care is to elect a new president. Under President Obama's signature legislation, health care costs continue to skyrocket, and up to 20 million Americans could lose their employer-based coverage. A panel of unelected bureaucrats now has the unprecedented authority to come between elderly patients and their doctors. Meanwhile, the rules and regulations placed on job creators and small businesses make it nearly impossible to hire new workers at a time when Americans desperately need jobs. We need market-based solutions that give patients more choice, not less. The answer to rising health care costs is not, and will never be, Big Government. We must elect a president who understands the economy, respects free enterprise, and can provide the leadership we now so desperately need. On Election Day, we must elect Mitt Romney and put America on the path toward a brighter economic future and successful health care reform."
Republican National Committee Chairman Reince Priebus
"Today's ruling marks a watershed moment for the health and wellbeing of every single American. The days of pre-existing conditions, denied coverage and spiked insurance rates are over! The Supreme Court decision does more than reaffirm the Constitutional merits of the Affordable Care Act - it also serves as a case-in-point of how our federal government is supposed to serve the American people. I commend their decision in the highest terms possible, and am grateful that we as a nation can finally rest assured that our health and wellbeing will not be subject to manipulative insurance practices."
Representative Judy Chu (CA-32)
"When people fall ill, we should help them get better. Most of us have experienced hard times. Many of us have gone without health coverage. When you lay all the heated rhetoric and legalese aside, the health care debate is really about what we're going to do when people get sick or injured. In America, we should take care of each other. It is irresponsible to force millions of Americans to delay treatment because they can't afford it, to live one broken leg or one chronic illness away from financial calamity. Today a 5-4 majority in the Supreme Court made the right decision. President Obama and Democrats in Congress did the right thing. We developed a plan that extended health coverage to most Americans. We fulfilled our moral obligation to seniors, to children, and to hardworking Americans. The Supreme Court sided with our authority to improve health care for all Americans. The health care law establishes a powerful Patient's Bill of Rights. No longer will Americans with a pre-existing condition be denied health coverage. No longer will women be charged more for coverage. The health law will finally close the prescription drug donut hole, so seniors can afford their medication. The benefits of the Affordable Care Act have already started. 32.5 million Seniors have already received free preventative services. Three million additional young adults now have health coverage because of the law. Small businesses can take advantage of tax credits so they can provide insurance for their employees. Starting in 2014, 30 million more Americans will be able to afford access to health care. Jesus taught us, 'Whatever you did for one of the least of these brothers of mine, you did for me.' All the world's great religions urge us to be compassionate and to help the sick. All good people recoil at the sight of needless suffering and cruelty. We all deserve the freedom from want and the freedom from fear. While I hope to eventually see Medicare for All in America, the Affordable Care Act is a vast improvement over the dark days when we allowed the insurance companies to run roughshod over our health."
Representative John Garamendi (CA-10)
"By ruling that the individual mandate is a tax and that the president and Congress have the right to tax, the U.S. Supreme Court exposed President Obama and House Minority Leader Nancy Pelosi's predisposition to tax the American people to pay for big government programs that kill jobs and place unreasonable burdens on all Americans. But just as Congress can tax, it can repeal taxes. A recent Reuters poll found that 56 percent of respondents oppose Obamacare and 61 percent oppose the individual mandate tax. I will continue to work with my colleagues to rescind Obamacare and its burdensome taxes and regulations. Then Congress can take a strong look at the health insurance system and our overall health care system, analyze where it can be made more efficient and responsive to patients and health care professionals, and take the steps necessary to make it more accessible and affordable for all Americans without big government taxes."
Representative Elton Gallegly (CA-24)
"While it is true that some false statements lack social value, many others, such as those meant to be satire or parody, serve important social interests. Many other false statements are important to individual autonomy interests that the First Amendment has long been understood to protect. Perfectly respectable people sometimes lie to protect their privacy, avoid hurt feelings, make others feel better, duck minor obligations, or protect themselves and others from prejudice. If the court had endorsed the government's sweeping argument, the government could regulate these false statements, and even criminalize them. The First Amendment reserves to individual citizens, not the government, the right to separate what is true from what is false, and to decide what ideas to introduce into private conversation and public debate. Today's decision is an important reaffirmation of those crucial rights."
American Civil Liberties Union (ACLU) Deputy Legal Director Jameel Jaffer