The long-awaited Supreme Court decision brings clarity to the future of health care reform and the implementation of the Affordable Care Act (ACA). The following represents Manatt’s first take on the ruling and its implications. We will continue to develop a more detailed perspective in the days and weeks to come, and welcome the opportunity to work with you on how the ruling will impact your organization and those you serve.

The impact of the decision is dramatic, maintaining the pillars of health reform including the creation of insurance exchanges and premium tax subsidies, delivery system transformation and, with some limitations, the Medicaid expansion. Attention will now turn from whether and if reform will happen to how and at what pace, with virtually all health care stakeholders recalibrating their strategic plans to take into account the transformational initiatives being implemented through the ACA.