The Supreme Court ruled today that the individual mandate requiring all Americans to obtain health insurance under the Affordable Care Act is constitutional — what many described as the “heart” of the law.

In addition, insurance companies cannot discriminate against those with a pre-existing condition.

However, a major provision that would have required expansion of medicaid to cover more of the poor has been struck down. Currently, Medicaid is a joint federal-state program that provides healthcare to certain poor Americans, such as children and the elderly. In 2014, the Affordable Care Act would have opened up Medicaid to anyone with an income under 138% of the federal poverty line — what some argued would place an undue burden on the states. The court agreed that the federal government’s ability to revoke a state’s Medicaid funding is limited.

To read the full ruling, click here.

Physicians Weekly wants to know… what is your reaction to this ruling?