Rep. C.A. Dutch Ruppersberger of Baltimore County (Democrat): "After 60 votes to repeal or undermine the Affordable Care Act -- without a single alternative proposed from either party -- this decision puts the issue to rest once and for all. As Chief Justice John Roberts said, Congress passed the Affordable Care Act to improve health insurance markets, and it's working. More than 16 million Americans now have insurance and our country's uninsured rate is at its lowest level ever. Without Obamacare, American taxpayers would be footing the bill for this care.Repealing Obamacare would increase the federal deficit by $353 billion over the next decade, according to the Congressional Budget Office. Having been upheld by our nation's highest court twice now, we must move on from repeal and focus our mutual efforts to better the bill so that we can lower costs and improve the quality of care for even more Americans. Let's end the partisan politics and work together so that we can continue to strengthen our healthcare system."