The decision handed Obama a campaign-season victory in rejecting arguments that Congress went too far in requiring most Americans to have health insurance or pay a penalty.
Chief Justice John Roberts announced the court's judgment that allows the law to go forward with its aim of covering more than 30 million uninsured Americans.
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The Supreme Court has ruled that the mandate is constitutional and survived as a tax. The Medicaid provision is limited but not invalidated.
An in depth story is to follow.
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