Reaction from Northern Nevadans was mixed.
Sheila Kennedy of Sparks was quick to point out she was not happy.
"I am appalled," she said. " I just think that 60 percent of Americans don't want this. So, I think it's something they should be able to vote on."
"I think it's great," said Edden Lynn. "This is a good thing for me, for the poor people who are out of work."
"I am so happy," said Barbara Wendel of Reno. "My son was in an accident this past year, and he was able to get back on my insurance. Without that, and without the Obamacare, I would have $180,000 in medical bills that just wouldn't have gotten paid. I am delighted!"
"I just think the last thing we need right now is another tax," said Bruce Mcalvain.
It's hard to tell what Thursday's Supreme Court decision will really mean, but to business owners like Luther Mack, who owns Fuddruckers and Popeye's in the Legends at Sparks Marina, it means another hurdle to clear toward a profit.
"This is another problem for business owners," he said. "For us, it will mean we can afford fewer employees. It won't mean we'll lay people off but it could mean we will hire fewer. The cost is just not what we need right now."
Everyone seems to agree that the issue, which has exhausted the judicial system, will now move back into the political arena.
Written by Erin Breen