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The Supreme Court's decision removes much of the uncertainty for businesses involved in health care. Renee Montagne talks to Karen Ignani of America's Health Insurance Plans, the insurance industry's trade group, about the impact of the Supreme Court's ruling on the health care law.

Bishop Ricardo Ramirez's grandmother lived a long and full life. But it was the way Francisca Espitia approached her final years that may have impressed her grandson the most.

Ramirez, 75, recently visited StoryCorps to remember his grandmother, whom he called Panchita, in a family story that begins in 1981. That's when he was elevated to bishop in the church. The occasion called for a reception — so Ramirez called his grandmother.

Depending on whom you ask, the Supreme Court's decision to uphold the federal health care law will either help businesses grow or it will make them more hesitant to hire.

Thursday's decision to uphold the law, including the provision requiring individuals to buy insurance, has some far-reaching implications in the business world.

Dan Danner, CEO of the National Federation of Independent Business, a business lobby that helped bankroll the suit seeking to strike down the law, said the 5-4 decision was unambiguously bad for business.

The Supreme Court's decision to uphold nearly all of the Affordable Care Act may move the debate to the presidential campaign trail. But it shifts much of the burden of implementing the law to the states.

States are actually responsible for the lion's share of getting people without insurance covered under the health law.

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RENEE MONTAGNE, HOST:

We have been devoting this hour of MORNING EDITION to the Supreme Court's decision upholding President Obama's signature health care law that came through less than two hours ago. Within minutes of the court's decision to uphold the Affordable Care Act, health care related stocks swung up and then down.

LINDA WERTHEIMER, HOST:

Transcript

RENEE MONTAGNE, HOST:

This is MORNING EDITION from NPR News. I'm Renee Montagne.

LINDA WERTHEIMER, HOST:

And I'm Linda Wertheimer. In a momentous and long-anticipated ruling, the Supreme Court has decided to uphold President Obama's health care law. The decision is a major victory for the president.

MONTAGNE: His challenger, Republican presidential candidate Mitt Romney, will offer his own response in a few moments. For their part, House Republicans have vowed to repeal the law.

The entire health care sphere has been bracing for what might happen and all the chaos that might ensue from what the court might do, but the ruling doesn't change much about the Affordable Care Act.

There was a lot of speculation about how the Supreme Court would decide, but almost every prognostication was wrong: from who the swing vote would be (it was Chief Justice John Roberts, who wrote the opinion), to what the basis for the opinion would be (it wasn't the Commerce Clause).