As many people know, the U.S. Supreme Court, in its June 28 decision on the ACA, upheld the entire law, with one important exception: The Court invalidated the penalty that would withhold all federal Medicaid funding for any state that refused to implement the law’s Medicaid expansion. (It’s important, however, to note that the law’s requirement to expand Medicaid still stands. However, the penalty for failing to do so was removed.)