The U.S. Supreme Court ruled today on the three companion cases challenging the federal Patient Protection and Affordable Care Act (ACA). In summary, health care providers should continue their efforts to comply with the federal legislation.

Since the constitutionality of the individual mandate was upheld, concerns about whether the demise of that requirement might undermine the ACA as a whole, are moot.

The Court did strike down a portion of the ACA that threatened States with withholding federal Medicaid funding if they failed to expand access to Medicaid benefits to certain required levels. Thus, States will need to address individually whether they want to expand access to Medicaid benefits in the absence of the ACA’s stricken penalty. This will likely be a subject of continued focus and debate among the White House, Congress and the States.