RT Journal A1 Gostin LO T1 The supreme court's historic ruling on the affordable care act: Economic sustainability and universal coverage JF JAMA JO JAMA YR 2012 FD August 8 VO 308 IS 6 SP 571 OP 572 DO 10.1001/jama.2012.9061 UL http://dx.doi.org/10.1001/jama.2012.9061 AB On June 28, 2012, the Supreme Court handed down its historic ruling in National Federation of Independent Business v Sebelius, upholding the Affordable Care Act (ACA), with the sole exception that Congress cannot penalize states that decline to expand Medicaid.1 Does the court's decision ensure the ACA's economic viability, and can it fulfill the promise of universal coverage?2- 3