Today, the U.S. Supreme Court, in California v. Texas, effectively upheld the Affordable Care Act (ACA), more commonly known as Obamacare, in a 7-2 decision. This is the third major challenge to the law. SCAI, in previous proceedings, joined with many other medical groups in filing a “Friend of the Court” brief supporting the ACA. In this case, the court did not directly address whether the law should stand without the provision requiring most Americans to obtain insurance or pay a penalty. Instead, the court found that the plaintiffs, Texas and 17 other state Attorneys General, did not have the necessary legal standing to sue.