"I think the Supreme Court decision replaces a lot of negative what ifs with a single positive and that is to change for the better the way we take care of people in the United States. That is what health care reform was all about."

—Carmela Coyle, president and CEO of the Maryland Hospital Association



"Our health care system is not meeting the needs of the American people, it is too costly, and it is placing unacceptable burdens on our industries, especially on small businesses, where most of our jobs are created. The Affordable Care Act sets in motion many necessary changes to get us to better health, better care, and lower cost."

—Dr. John Chessare, president / CEO of GBMC HealthCare system



"The president's health care law is hurting our economy by driving up health costs and making it harder for small businesses to hire. Today's ruling underscores the urgency of repealing this harmful law in its entirety. What Americans want is a common-sense, step-by-step approach to health care reform."

—House Speaker John Boehner



"Three quarters of a million Marylanders do not have the security that comes with having health insurance. Today's decision means many of them will be able to afford coverage. This marks a huge step forward for Maryland families, particularly those who cannot now afford insurance. Over time, this will make Maryland a much healthier state."

—Kathleen Westcoat, president and CEO of HealthCare Access Maryland



"Now that this historic legislation has been upheld by the highest court in the land, it's time for Republican leaders in Congress to stop their campaign to repeal the law and to focus instead on improving the economy and creating jobs."

—John Gage, president of the American Federation of Goverment Employees



"As the reform law is implemented, health plans will continue to focus on promoting affordability and peace of mind for their beneficiaries. The law expands coverage to millions of Americans, a goal health plans have long supported, but major provisions, such as the premium tax, will have the unintended consequences of raising costs and disrupting coverage unless they are addressed."

—Karen Ignagni, president of America's Health Insurance Plans, the national trade group representing health insurance companies that had fought the law in Congress



"The tragedy in this ruling is that Maryland residents are now at the mercy of politicians from other states and bureaucrats in Washington whose decisions won't be based on what is best for Maryland. Small businesses here will be overwhelmed by mandates, taxes and burdens imposed on them by people whom we cannot as easily hold accountable."

—Ellen Valentino, Maryland director of The National Federation of Independent Business, the group that initially filed part of the lawsuit



"The NAACP has long supported the full and complete implementation of this law. Access to quality, affordable health care is a civil and human right that should not be reserved for the wealthy or the few. The 32 million American men, women and children covered under this law can now breathe easier."

—NAACP Chairman Roslyn M. Brock



"Today, the Supreme Court ended the debate over the Affordable Care Act and ruled conclusively that Obamacare is here to stay. It's time for opponents to stop wasting time and get to work on fully implementing the law in Maryland."

—Kate Planco Waybright, interim executive director of Progressive Maryland



"It gets us much closer to the goal of universal coverage. This critical piece of legislation provides the infrastructure for fully integrating the treatment of addiction, a chronic disease, into holistic care. With today's Supreme Court ruling, we have more certainty that this integration will happen, removing financial and bureaucratic barriers to good health. The next step is to make sure that the law is implemented well here in Maryland and around the country."

—Diana Morris, director of Open Society Institute Baltimore