WASHINGTON -– A few weeks ago, a senior adviser to Mitt Romney said the approaching Supreme Court decision on the constitutionality of President Barack Obama's health care law would be "the most over-reported story of the election."

While that statement during a background conversation may have been a bit of egregious spin designed to keep expectations in check, the premise -– that the election will be about the economy and jobs -– was sound.

If the court repealed the Affordable Care Act, Romney would have said Obama was a failed president and then moved back to hammering him on the economy, as he has been doing for months. Now that the court has upheld most of the law, Romney will say that Obamacare needs to be repealed, and go back to hammering Obama on the economy.

"If we want to get rid of Obamacare, we're going to have to replace President Obama," Romney said Thursday after the ruling. "If we want good jobs and a bright economic future, for ourselves and for our kids, we must replace Obamacare."

Even in a short statement in which he laid out the reasons why he thinks the Affordable Care Act should be repealed, Romney came back to his bread and butter (though his statement, somewhat oddly, included several warnings that Obamacare would cause Americans to " lose the insurance they currently have, the insurance that they like and they want to keep)."

However, the court's decision Thursday did deprive Romney of a huge club that he had hoped to batter the president with.

"Short term, Obama would have taken a big shot if it had been tossed out," a senior Romney adviser told The Huffington Post after the ruling was announced.

Romney said earlier this week that a repeal ruling would have meant Obama's first term would have been "entirely wasted."

At the same time, Chief Justice John Roberts' opinion handed Romney a different weapon. Romney and Republicans will mention every day between now and Election Day that Obama has raised taxes by $500 billion and broken his campaign promise not to do so for those Americans making less than $250,000 a year.

The ruling is likely to drive voters toward Romney as "people realize they just got hit with a massive tax increase," the Romney adviser argued, adding that the tax argument is simpler than any previous criticism that Romney has leveled at the president regarding Obamacare.

"Frankly, to be able to tell you your taxes have been raised by this bill and you didn't know that, as opposed to trying to explain Congress's powers under the commerce clause, it's easier," the Romney adviser said, referencing the issue of the law's constitutionality.

Another of Romney's top advisers said the ruling "does increase the intensity for the change vote."

"The only way to defeat Obamacare is to defeat Obama. That's a very straightforward, compelling argument. It helped power the 2010 elections and it will energize the 2012 elections," the second Romney adviser said.

Rick Wiley, the political director for the Republican National Committee, said the court ruling is a rallying cry. If there were any doubts about the grassroots energy that Republicans need this fall, "now for sure I think it's going to be there," Wiley said.

It was clear Thursday from talking to numerous Romney advisers and aides that his campaign base in Boston was surprised by the ruling.

"I didn't see the tax issue coming," the first senior Romney adviser said of Robert's decision, which upheld the individual mandate to purchase health insurance on the grounds that Congress has the power to issue a tax of that kind.

And that's why Thursday's ruling was a wild card of sorts. Neither side likely anticipated that the ground of the debate would shift so quickly from mandates and constitutionality to taxes. But that was the effect of the court's majority opinion.

"The president said he would not raise taxes on the American middle class and now he is raising taxes on the American middle class," said Sen. Marco Rubio, (R-Fla.), who was quick to jump out and do TV interviews using talking points that aligned closely with what the Romney campaign was saying.

The Romney campaign aides based their assertion that the Affordable Care Act is a $500 billion tax increase on congressional testimony in March 2011 by Congressional Budget Office Director Douglas Elmendorf. The $500 billion figure was largely backed up as well by PolitiFact earlier this year, though it said the figure might be closer to $465 billion.

And in that same PolitiFact article, a liberal economic think tank official said the tax increase in Obamacare was more than $500 billion.

"Someone could quibble that some of the fees do not represent a tax increase, but I cannot fault anyone for saying that the ACA increased taxes by $525 billion," James Horney, vice president for federal fiscal policy at the Center on Budget and Policy Priorities, told PolitiFact.

Democrats, including Neera Tanden of the Center for American Progress, responded quickly that "if you call the mandate a tax increase, then Mitt Romney increased taxes in Mass" as governor.

Obama, in his remarks at the White House after the ruling, pointed to the 2006 law that Romney signed as governor of Massachusetts that included a mandate to purchase health insurance.

"Even though I knew it wouldn’t be politically popular, and resisted the idea when I ran for this office, we ultimately included a provision in the Affordable Care Act that people who can afford to buy health insurance should take the responsibility to do so," Obama said. "In fact, this idea has enjoyed support from members of both parties, including the current Republican nominee for president."

From 2007 to 2010, Massachusetts residents who did not have health insurance paid $87 million in fines, said Dick Powers, a spokesman for the Massachusetts Health Connector. He added that the number of state residents paying the penalty, or tax, has gone down each year, from 67,000 in 2007, to 44,000 in 2010.

The immediate response to the Democrats' tax rebuttal from Republicans was less than impressive.

Romney "supported it on the state level. Which means if you didn’t like it in Massachusetts, you could move to another state," Rubio said on Bloomberg Television. "What are people supposed to do? Leave the United States now because of Barack Obama’s brilliant idea to stick the IRS on millions of people? More importantly, the state of Massachusetts doesn’t have the IRS. The IRS will follow you. Do people understand what this means?"

But if the presidential campaigns litigate the issue of whether Romneycare included a tax, they will inevitably confront the fact that Romney originally proposed a plan that did not include any penalty or tax. Instead, those who did not want to obtain health insurance would have been required to "post a bond" of $10,000, said Amy Lischko, a former top health care policy adviser to Romney who helped design the overhaul in Massachusetts.

"There would be something that would happen if you didn't post a bond. There would be an attachment to your wages or whatever to pay for the care that you used. But it wouldn't be a penalty for not getting health insurance," Lischko said in an interview. "So if you didn't use any health care, then there would be no penalty. If you used health care, there would be the ability for the hospital to go after your assets.

"The way it ended up coming through in statute and then in regulation is that there's a penalty whether you use care or not. So you have to have health insurance. You have to document that health insurance on your taxes, and if you don't have health insurance, then you have to pay a penalty, unless it's deemed not affordable to you and you get an exemption," Lischko said. "But when Romney proposed it, it was only if you used health care … and didn't have a way of paying for it. It wasn't really taxed. It was just, you just had to pay for it."

Lischko said that the version of the bill Romney signed into law, after the Democratic-controlled legislature made changes to it, had morphed into legislation that included a penalty or tax.

Douglas Holtz-Eakin, president of the American Action Forum, a conservative advocacy group, said he did not think the political debate would get too far into the weeds on whether Romney's plan included a tax.

"I've never thought the president wanted to talk about this. This is not a good story for him. He spent two years doing this and not on jobs. He's not going to go there," Holtz-Eakin said. "And I don't think Romney will either. He'll stay focused on the economy and jobs."

On Thursday evening, Obama sent out a fundraising email through his campaign asking supporters to "say you're with me on the Affordable Care Act.

"My opponent said a short while ago that the first thing he would try to do as president is repeal the health care law. We can't allow that to happen. So we have to win this election," Obama said.

The coming weeks will show whether that's an appeal the president continues to make, or whether Obama can now -- thanks to the court's decision -- continue to ignore his most significant legislative achievement, as he has for most of campaign so far.

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  • Nancy Pelosi

  • Speaker John Boehner

  • Jerrold Nadler

    "Today, in upholding the Affordable Care Act, the Supreme Court has shown that, even at a time when Washington seems to have reached a new level of dysfunction, there remains a respect for the rule of law, for precedent, and for the ability of Congress to legislate on matters that affect the American people," Rep. Jerrold Nadler (D-N.Y.) said in a statement. "By not caving in to the most craven political calls, it appears the Court has stood by more than 70 years of legal precedent to ensure that: some 32 million Americans will have access to health insurance; we stop the unnecessary deaths of 42,000 Americans annually who die simply because they lack health insurance; insurers can no longer deny a child health care because of pre-existing conditions; millions of young adults receive coverage on their parents' plans until age 26; insurers can no longer impose lifetime limits on coverage; millions of Americans receive free preventive care; and, seniors save billions of dollars on prescription drugs. "The Affordable Care Act will now assume its rightful place, along with Social Security and Medicare, as powerful testimony to what our nation can achieve to benefit the lives of all Americans. Today's decision will, I truly hope, put to rest the partisan attacks from the Right against the law and many of its provisions. Republicans have threatened to continue their attempts to repeal these provisions, but let us all hope that they will respect the Court's ruling and put the health and wellbeing of the American people ahead of insurance companies."

  • Mitch McConnell

    "Today's decision makes one thing clear: Congress must act to repeal this misguided law," said Sen. Republican Leader Mitch McConnell. "Obamacare has not only limited choices and increased health care costs for American families, it has made it harder for American businesses to hire. Today's decision does nothing to diminish the fact that Obamacare's mandates, tax hikes, and Medicare cuts should be repealed and replaced with common sense reforms that lower costs and that the American people actually want. It is my hope that with new leadership in the White House and Senate, we can enact these step-by-step solutions and prevent further damage from this terrible law."

  • Virginia Gov. Bob McDonnell (R)

    Republican Governors Association Chairman Bob McDonnell issued the following statement regarding the Supreme Court's decision to uphold the Patient Protection and Affordable Care Act: "Today's ruling crystallizes all that's at stake in November's election. The only way to stop Barack Obama's budget-busting health care takeover is by electing a new president. Barack Obama's health care takeover encapsulates his Presidency: Obamacare increases taxes, grows the size of government and puts bureaucrats over patients while doing nothing to improve the economy. It's never been more important that we elect a President who understands the marketplace and will make job creation his top priority. By replacing Barack Obama with Mitt Romney, we will not only stop the federal government's healthcare takeover, but will also take a giant step towards a full economic recovery."

  • Sen. Tom Coburn (R-Okla.)

    "Dr. Coburn will be reviewing the ruling and will respond with an updated plan to repeal and replace this unworkable law. The Court affirmed Congress' power to tax people if they don't eat their broccoli. Now it's up to the American people to decide whether they will tolerate this obscene abuse of individual liberty," said John Hart, a spokesman for Sen. Coburn.

  • RNC Chair Reince Preibus

    "Today's Supreme Court decision sets the stakes for the November election. Now, the only way to save the country from ObamaCare's budget-busting government takeover of health care is to elect a new president," said RNC Chairman Reince Priebus. "Under President Obama's signature legislation, health care costs continue to skyrocket, and up to 20 million Americans could lose their employer-based coverage. A panel of unelected bureaucrats now has the unprecedented authority to come between elderly patients and their doctors. Meanwhile, the rules and regulations placed on job creators and small businesses make it nearly impossible to hire new workers at a time when Americans desperately need jobs. "We need market-based solutions that give patients more choice, not less. The answer to rising health care costs is not, and will never be, Big Government. "We must elect a president who understands the economy, respects free enterprise, and can provide the leadership we now so desperately need. On Election Day, we must elect Mitt Romney and put America on the path toward a brighter economic future and successful health care reform."

  • Chellie Pingree

  • Pete Hoekstra

  • Tom Rooney

  • Rep. W Todd Akin

  • Rep.George Miller

  • LEETERRYNE

  • Ari Fleischer

  • Brian Walsh

  • Eric Schneiderman

  • Marco Rubio

  • Rep. Keith Ellison

  • Sarah Palin

  • Gov. Bobby Jindal

  • John Dingell

  • Gov.Robert Bentley

  • Ben Quayle

  • Eric Cantor

    Today, House Majority Leader Eric Cantor (R-VA) released the following statement on the Supreme Court ruling on the President's health care law: "The Supreme Court's decision to uphold ObamaCare is a crushing blow to patients throughout the country. ObamaCare has failed to keep the President's basic promise of allowing those who like their health care to keep it, while increasing costs and reducing access to quality care for patients. In this tough economy, jobs and economic growth are on the minds of most Americans, but ObamaCare has increased uncertainty for small businessmen and women and forced them to put their hiring decisions on hold. "During the week of July 9th, the House will once again repeal ObamaCare, clearing the way for patient-centered reforms that lower costs and increase choice. We support an approach that offers simpler, more affordable and more accessible health care that allows people to keep the health care that they like. "The Court's decision brings into focus the choice the American people have about the direction of our country. The President and his party believe in massive government intrusions that increase costs and take decisions away from patients. In contrast, Republicans believe in patient-centered, affordable care where health care decisions are made by patients, their families and their doctors, not by the federal government."

  • Steny Hoyer

    House Democratic Whip Steny H. Hoyer (MD) released the following statement today after the Supreme Court's decision on the Affordable Care Act: "Our highest court has weighed in, and its decision to uphold the Patient Protection and Affordable Care Act is a victory for all Americans who have ever worried about being able to access or afford the care they need. Democrats are proud to have worked hard to pass this landmark legislation in 2010 and of our efforts to make sure it is implemented in a way that continues to yield new benefits for patients, employers, and care providers. "The Affordable Care Act made it illegal for insurance companies to discriminate against patients on the basis of pre-existing conditions, allowed young people to remain on their parents' plans until age 26, and prohibited insurance companies from charging women higher premiums than men. The Medicare Part D 'donut hole' is closing, and seniors on Medicare now have access to free preventive services like mammograms and colonoscopies. Moreover, the Affordable Care Act provides deficit savings of more than $1 trillion over the next two decades. The Affordable Care Act further brought peace of mind to the 30 million uninsured Americans who will finally be able to access affordable coverage once the law is fully implemented. "Republicans have been trying to repeal the Affordable Care Act since the day it was enacted, and they have been eagerly awaiting today's ruling. But they must now accept that the Affordable Care Act will remain in place and that the time for litigation and partisan posturing on this issue ought to come to an end. Republicans now have a responsibility to work with Democrats to implement the Affordable Care Act, and I call on them to do so in order to make care affordable and accessible to Americans."

  • Tim Kaine

    Following the Supreme Court's decision affirming the constitutionality of the Affordable Care Act, former Governor and U.S. Senate candidate Tim Kaine today released the following statement: "The Affordable Care Act is an important first step in curbing discriminatory insurance company practices and increasing access to health care, but more needs to be done to bring down costs. Our government, businesses, and citizens cannot continue to spend more than any other nation on health care while getting second-rate results. As Senator, I am committed to working with all stakeholders to find additional improvements to the Affordable Care Act that give all Americans affordable access to high quality services. "While there is more work to do, it is worth noting what has already been accomplished under the Affordable Care Act. Nearly 63,000 more young people in Virginia have health coverage, more than 800,000 Virginia seniors have received free preventive care, millions of small businesses are now eligible for tax credits, and twenty million American women have access to cancer screenings and contraception without co-pays. And we've put an end to the egregious abuses by insurance companies that denied coverage to children with preexisting conditions, charged women higher premiums for the same coverage, and dropped folks when they got sick. "My opponent regularly calls for a full repeal of this law, despite the positive results it's already delivering for Virginia. In the decade encompassing George Allen's six years as a U.S. Senator, the average insurance premium for families more than doubled and over 12 million more Americans were uninsured. Clearly, inaction was not a solution, and neither are continued calls for repeal. Instead we must work together to strengthen this existing program and improve cost controls."

  • Orrin Hatch

  • Senator Jeff Merkley

  • Sen. Robert Menendez

  • Rep. Nancy Pelosi

    "In passing health reform, we made history for our nation and progress for the American people. We completed the unfinished business of our society and strengthened the character of our country. We ensured health care would be a right for all, not a privilege for the few. Today, the Supreme Court affirmed our progress and protected that right, securing a future of health and economic security for the middle class and for every American."

  • Rep. Marcia Fudge

    "This is a victory for all Americans. In my district alone an estimated 7,000 children with pre-existing health conditions can no longer be denied coverage by health insurers; thousands of seniors will receive Medicare preventive services with no out-of-pocket co-pays or deductibles; thousands of seniors on Medicare will receive an average discount of $490 per person on the cost of prescription drugs. Now, 470 small businesses in the district will have the opportunity to receive tax credits to help maintain or expand health care coverage for their employees, insurance companies can be banned from establishing lifetime coverage limits for 160,000 residents, and $4 million in public health grants will make their way to community health centers, hospitals and doctors to improve the community's health."

  • Rep. John Boehner

    "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 that will protect Americans' access to the care they need, from the doctor they choose, at a lower cost. Republicans stand ready to work with a president who will listen to the people and will not repeat the mistakes that gave our country ObamaCare."

  • Rep. Peter Welch

    "Amidst the contentious national health care debate over the last two years, there has been widespread consensus on one thing: America's health care system is broken. The only beneficiaries of the status quo are insurance companies and their executives. Working families need the peace of mind and that comes with quality and affordable health care coverage. And businesses need to compete in a global economy without the heavy burden of skyrocketing employee health care premiums. With this landmark decision now behind us, both parties should set political differences aside and make this law work for the American people. It won't be easy, but it's time to get back to work."

  • Ken Cuccinelli

  • John Thune

    "Prior to the passage of ObamaCare, Speaker Pelosi infamously said Congress had to pass the bill to 'find out what is in it,' and two years later Americans now know that ObamaCare is making things worse," said Sen. John Thune (R-S.D.). "Worker health insurance costs have gone up 17 percent, family premiums have increased by $1,700, and small businesses and individuals throughout the country now face costly mandates and taxes. "While today's decision is disappointing, Congressional Republicans will not rest until ObamaCare is fully repealed. Rather than jam a nearly 3,000-page bill through Congress using political favors and backroom deals, as was the case with ObamaCare, Congressional Republicans are committed to working across the aisle in a step-by-step manner to improve and expand access to health care, while reducing costs for Americans."

  • Newt Gingrich

  • Barbara Boxer

    "The Supreme Court's ruling is a victory for America's families, who deserve affordable health care," said Sen. Barbara Boxer (D-Calif.) "The decision is great news for the millions of Californians who have already seen the benefits of this law - including the six million who now have access to free preventive health services, 355,000 young adults who now have coverage on their parents' health plans and 320,000 seniors who have received help in paying for their prescription drugs. "Now Americans will have the certainty of knowing they won't be denied coverage because of a preexisting condition. Women won't be charged a higher premium because of their gender. And families struggling with serious illnesses will not face lifetime limits on coverage. "We will continue to fight Republican efforts to repeal these important health benefits while we work to make sure every American has access to quality, affordable health care."

  • Scott Walker

    "I continue to oppose ObamaCare," said Wisconsin Gov. Scott Walker. "One of my first acts as Governor was to authorize Attorney General J.B. Van Hollen to add Wisconsin to the federal lawsuit opposing ObamaCare. Wisconsin will not take any action to implement ObamaCare. I am hopeful that political changes in Washington D.C. later this year ultimately end the implementation of this law at the federal level. If there is no political remedy from Washington and the law moves forward, it would require the majority of people in Wisconsin to pay more money for less healthcare. Additionally, it would increase the size and cost of government, decrease the quality of healthcare and, in our state, reduce access for those truly in need of assistance." The federal government should not tell individuals and families what to do with healthcare. The alternative is more transparency and a more active role by consumers, so we can truly control costs.

  • Rand Paul

    "Just because a couple people on the Supreme Court declare something to be 'constitutional' does not make it so," said Sen. Rand Paul (R-Ky.) "The whole thing remains unconstitutional. While the court may have erroneously come to the conclusion that the law is allowable, it certainly does nothing to make this mandate or government takeover of our health care right." "Obamacare is wrong for Americans. It will destroy our health care system. This now means we fight every hour, every day until November to elect a new President and a new Senate to repeal Obamacare," Paul continued.

  • Allen West

    "The United States Supreme Court has ruled to uphold the Patient Protection and Affordable Care Act by extending the power of the United States Congress to tax Americans' behavior," said Rep. Allen West (R-Fla). "This is a sad day for Americans, as they will be taxed to pay for benefits they may not need or want as part of the insurance they are forced to buy. With this decision, Congress has been granted infinite taxation power, and there are no longer any limits on what the federal government can tax its citizens to do. "The Patient Protection and Affordable Care Act will hit the middle class especially hard, as hundreds of thousands of jobs will be lost as businesses try to avoid the penalties and costs created by the healthcare law. The healthcare law will cost trillions of dollars, raise costs for employers and create huge incentives for them to drop health insurance. "Benjamin Franklin did indeed state, 'In this world, nothing can be said to be certain, except death and taxes.'However, Dr. Franklin never envisioned the federal government would use its power of taxation to punish people for not purchasing health care. Today, individual sovereignty in America has been defeated."

  • Dennis Kucinich

    "Today's ruling demonstrates that health care is not the third rail in American politics. It demonstrates that reform is possible. It demonstrates that Medicare for All is inevitable," said Rep. Dennis Kucinich (D-Oh.) "The Affordable Care Act provided health care to those most vulnerable among us - those of the lowest income - by expanding Medicaid, a health insurance program for low-income Americans. It provided much-needed benefits. "In today's ruling, the Supreme Court held that states have the power to reject that expansion and maintain the status quo. That means that in states in which the governor decides not to prioritize providing health care to the poor, even though the federal government is paying for the vast majority of the expansion, the poor can be left out in the cold. "Today is an important day for millions of Americans who will not be denied benefits under the Affordable Care Act. But this is not the end of the conversation. Medicare for All is the solution America needs to stop the ever-rising costs of health care and provide full coverage for everyone. I supported the Affordable Health Care Act as a step in the right direction, but it is only the first step in a long journey. "States are not waiting for Congress to act. Vermont is moving forward on a single payer system, led by a push from small and medium-sized businesses who are getting crushed by health care costs. California has passed a Medicare for All system out of their legislature twice only to be vetoed by the Republican governor. Fourteen of the fifteen studies have showed that if a state went for a Medicare for All system, it would be cost neutral or save up to $19 billion per year while at the same time insuring everyone and improving the quality of care. Congress must help the states fulfill the will of their constituents," said Kucinich.

  • Frank Lautenberg

    "On this day, history was made in America. This is a victory for the people, and makes clear that help is on the way for 30 million Americans who need access to affordable health insurance," said Sen. Frank Lautenberg (D-NJ). "Middle class families are struggling to afford health insurance and Obamacare will throw them a lifeline. It is time for the Republicans to stop the politically inspired attacks and work with us to extend this law's help to as many people as possible. With this ruling, Americans finally will have the peace of mind to know that their families will be taken care of when they get sick. President Obama has courageously stood up to false, political attacks, and his hard work was vindicated today."

  • Tim Johnson

    "I applaud today's Supreme Court decision to uphold the health care reform law," said Sen. Tim Johnson (D-SD). "This is a huge win for South Dakotans and the nation. I have always believed health care reform was constitutional. Critically, the Supreme Court upheld the individual mandate. "From kids to seniors, health care reform has made a positive difference in the lives of tens of thousands of South Dakotans. More than 9,000 young adults in South Dakota have been covered under their parent's health insurance policies since the beginning of the year. "Nearly 100,000 South Dakotans on Medicare received free preventive services like mammograms and colonoscopies as a result of health reform. Already this year, beneficiaries reaching the donut hole have saved an average of $690 on prescription drugs with the help of health reform. "I look forward to continue working with members of both parties to reduce health care costs and increase health insurance coverage. The Supreme Court decision upholding the health care reform law gives us the foundation to do just that."

  • Jon Tester

    "After my daughter was born, our family had to give up health insurance because we couldn't afford it--a situation too many other Montana families have faced," said Sen. Jon Tester (D-Mt.) "I'm pleased the Supreme Court has validated Congress' work to ensure access to health care for all Montanans. "Today's ruling doesn't mean this responsible, constitutional law can't be improved. But it is an important step forward in the fight to fix a broken system and hold big insurance companies accountable to Montana families. "Insurance companies will now continue to insure people who are sick or have pre-existing conditions--like being pregnant. Young people will stay on their parents' health insurance plans. Seniors will continue paying less for prescription drugs. And 14,000 Montana veterans will now receive health insurance."

  • Tom Udall

    "When Congress and President Obama first took up this issue, we knew it wouldn't be easy," said Sen. Tom Udall (D-NM). "The Supreme Court's decision to uphold the Affordable Care Act is the best possible outcome for the American people. Today, quality, affordable health care is a major step closer to becoming a reality for millions of Americans who live one accident or diagnosis away from losing everything. For these families, health care is an economic matter with the very real consequences of life, death and bankruptcy. As a nation, and across New Mexico, we cannot afford to go back to just a short time ago when insurance coverage for all was further from reach, when children with cancer could be denied coverage, and when unemployed, recent college graduates would be kicked off their parents' insurance by age 22. "We can still improve upon the law we've put into place, but today, New Mexico has already received more than $200 million in grants and loans to establish an insurance exchange, strengthen community health centers, train new health professionals and so much more. Since passing the law, more than 26,000 young adults under 26-years-old in our state have been allowed to stay on their parents' insurance plans. Almost 20,000 New Mexico seniors on Medicare received a rebate to help cover prescription costs when they hit the donut hole in 2010. And 285,000 New Mexicans with private health insurance no longer have to pay a deductible or copayment for preventive care like physicals, cancer screenings and vaccinations. More is yet to come. "Today's decision marks another turning point in our country's approach to health care equality. Now's the time to put aside partisanship and work together to make our health care policy even stronger."

  • Kirsten Gillibrand

    "I am pleased the Supreme Court reaffirmed the hard fought progress that was made to ensure that no one can be denied coverage for a pre-existing condition, being a woman will no longer be a pre-existing condition, young adults will be covered, prescription drug costs for seniors will be reduced, preventive care including life-saving mammograms will be accessible and that insurance companies can't cancel their coverage when you get sick," said Sen. Kirsten Gillibrand (D-NY). "It is time to get beyond scoring political points and get back to finding common core values and passing legislation that will help grow our economy and get more people back to work."

  • Jim DeMint

    "The Supreme Court may have failed to stop this government takeover of health care, but the American people will not," said Sen. Jim DeMint (R-SC). "Since the day this law was rammed through Congress, the American people have demanded repeal, and today's ruling doesn't make Obamacare any less dangerous to our nation's health. Freedom-loving Americans are disappointed, but we cannot be discouraged. "The President's health care law must be fully repealed as all of its promises have proven false. We were told it was not a tax hike, but this ruling confirms it is an unprecedented and enormous tax on the poor and middle class Americans. President Obama needs to explain why he is enacting this middle class tax hike over the objections of the American people during the worst economic recovery since the Great Depression. "We were told it would lower health costs, but health care premiums are exploding. We were told that Americans could keep their personal health plans, but millions will now lose it. We were told it would improve our economy, but it is now the largest obstacle to employers hiring new workers. "This government takeover of health care remains as destructive, unsustainable, and unconstitutional as it was the day it was passed, unread, by a since-fired congressional majority. Now as then, our first step toward real health care reform and economic renewal remains Obamacare's full repeal, down to the last letter and punctuation mark. "I urge every governor to stop implementing the health care exchanges that would help implement the harmful effects of this misguided law. Americans have loudly rejected this federal takeover of health care, and governors should join with the people and reject its implementation." "The President's health care law will not reform anything, but is already undermining what does still work in America's health care system. We cannot build a free market health care system on this flawed structure of centralized government control, we must repeal all of it and start over with commonsense solutions that make health care more affordable and accessible for every American. We can allow Americans to purchase lower cost plans from other states, support state high-risk pools to cover those with pre-existing conditions, medical-malpractice reform to end frivolous lawsuits, and tax equity so Americans who don't get their health insurance from an employer are not penalized." "Today's decision, however unfortunate, nonetheless represents an opportunity to all Americans, to claim their right to create a health care system of, for, and by the people, not government or special interests. The American people now have the chance and Congress has the responsibility to fully repeal this Washington takeover and reform health care ourselves, together, around the principles of individual liberty, not government mandates. "The same freedom that made America strong and prosperous will make us healthier, too, so long as politicians remember that the health care system is supposed to serve our people, and not the other way around."

  • Ken Cuccinelli

    "This is a dark day for the American people, the Constitution, and the rule of law," said Virginia Attorney General and Republican gubernatorial candidate Ken Cuccinelli. "This is a dark day for American liberty. "This decision goes against the very principle that America has a federal government of limited powers; a principle that the Founding Fathers clearly wrote into the Constitution, the supreme law of the land. The Constitution was meant to restrict the power of government precisely for the purpose of protecting your liberty and mine from the overreaching hand of the federal government. "This unprecedented decision says that Congress has the authority to force citizens to buy private goods or face fines - a power it has never had in American history, and a power King George III and Parliament didn't have over us when we were mere subjects of Great Britain. Since the federal government itself could never articulate to the court a constitutional limit to this power, Congress has gained an unlimited power to force citizens to buy anything. "I am disappointed with the court's ruling and with the unprecedented attack on American liberty the president and the previous Congress have created with this law. "We are currently reading the decision and I will have more comment at the news conference at noon."

  • Sander Levin

    "The winners today are the American people," said Rep. Sander Levin (D-Mich). After nearly five decades - spanning eight presidents - we have succeeded in enacting comprehensive health care reform. Americans are already benefitting from the law's provisions that prevent the worst insurance company abuses, expand preventive care, reduce prescription drug costs for seniors, and allow young adults to stay on their parents' insurance. "Now we can move forward and implement the law's provisions that will expand coverage, and reform our overall system to reduce costs for middle class families. I urge my Republican colleagues to respect the opinion of the Court and end their misleading and partisan all-out assault on health care reform."

  • Justin Amash

    "The Supreme Court missed an historic opportunity to rein in the federal government," said Rep. Justin Amash (R-Mich). For decades, Congress has stretched the Constitution to authorize whatever new mandate it invents. Instead of acting as an impartial referee, the Court has been complicit in allowing Congress and the President to expand their power at the expense of state governments and the people. "The Court's decision green lights the continued expansion of the size and scope of the federal government. It also underscores the need to have congressmen who resist the impulse to aggrandize power in Washington. Now more than ever, Congress must commit itself to following the Constitution and limiting the federal government. We can begin to fulfill that commitment by repealing the President's health care law in its entirety."

  • Chris Christie

    "I've been clear from the very beginning that I do not believe a one-size-fits-all health care program works for the entire country and that each governor should have the ability to make decisions about what works best for their state," said New Jersey Gov. Chris Christie (R). "Today's Supreme Court decision is disappointing and I still believe this is the wrong approach for the people of New Jersey who should be able to make their own judgments about health care. Most importantly, the Supreme Court is confirming what we knew all along about this law - it is a tax on middle class Americans."

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