The Affordable Care Act was upheld in a 5-4 decision by the U.S. Supreme Court. Chief Judge John Roberts penned the opinion.
The so called individual mandate was the question at the heart of the case. It requires individuals to buy health insurance or pay a penalty.
In the majority opinion, the court ruled it is within Congress’ power to enforce the mandate as a tax. The plan will cover as many as 30 million uninsured Americans.
“Because the Constitution permits such a tax, it is not our role to forbid it, or to pass upon its wisdom or fairness,” Roberts wrote.
The court’s four liberal justices, Stephen Breyer, Ruth Bader Ginsburg, Elena Kagan and Sonia Sotomayor, joined Roberts in the outcome.
Justices Samuel Alito, Anthony Kennedy, Antonin Scalia and Clarence Thomas dissented.