The Supreme Court ruled in favor of the government on Wednesday in a case that could change how Americans access care.
The court’s 5-4 decision, which came in a 6-3 vote, said that the government cannot require individuals to buy a government-funded health insurance plan, even though some insurers have said they will offer plans that cover many of the same services as the ACA.
The court did not directly address how the health care program would be paid for, and it left open whether the subsidies could be used to cover private insurance or a broader range of services.
But the court made clear that its ruling was about more than health care and health insurance, noting that many of those who use the subsidies are also eligible for Medicaid.
The justices also ruled that states cannot use the money to finance the ACA, the nation’s largest Medicaid expansion.
Republicans control both chambers of Congress and the White House, and the court’s ruling could affect millions of Americans.
While it is likely that most Americans would not be affected, the ruling could also have major implications for how the ACA is funded and who gets subsidies.
This story has been updated.
Read more at the Washington Post and the Associated Press.