“We are ecstatic about the decision. We just see so many people every day, middle-class families, that are literally locked out of the health care system. … Expanding coverage to 32 million Americans is really an historic victory.”

Adam Linker, a policy analyst with the N.C. Justice Center’s Health Access Coalition

“The good thing for all of us is that there are going to be fewer people going to emergency rooms that have no health insurance that we all end up having to pay for anyway.”

Chip Mims, CEO of family-owned Mims Distributing Co. in Raleigh

“It’s the government getting in the middle of the relationship between the patient and the doctor.”

Duane Long, chairman and co-owner of Longistics in Raleigh

“That very first day it becomes available, we will definitely sign up.”

Tiffany Harvell, 25, an uninsured Raleigh resident, referring to herself and her fiancé and the expansion of Medicaid under the law in 2014.

“The decision of the U.S. Supreme Court reaffirms support for expanding access to health care, and we are grateful and appreciative that this ruling allows the nationwide network of community health centers to continue to be expanded. This is especially important in North Carolina, where 1.6 million residents are uninsured.”

Benjamin Money, CEO of the N.C. Community Health Center Association

“People on both sides of the health care debate will spend the days and weeks to come discussing the impact of today’s ruling, but a few things remain clear: Our health care system is broken, costs remain unchecked, and outcomes are not improving.”

U.S. Sen. Richard Burr, Republican

“The status quo in America has been paying twice as much for health care as other developed countries, and Americans aren’t as healthy and don’t live as long. Something had to give. Now we need to make the reform work.”

U.S. Rep. Brad Miller, Democrat

“Today’s decision reaffirms that no American will be denied health insurance coverage because they’re sick, and insurance companies can’t drop coverage when they need it the most. The ACA empowers consumers. It is an important step forward, and I am proud to have voted for it.”

U.S. Rep. David Price, Democrat

“Today the Supreme Court verified that Obamacare is a tax – one that increases the financial burdens on every American by $500 billion and will go down in history as the most significant expansion of government power over the lives of its citizens. This law has and continues to be bad policy for all Americans and future generations. … Today’s decision by the Supreme Court sends a direct message to Congress and policymakers that we have to get back to work to repeal this law and replace it with effective, efficient reforms.”

U.S. Rep. Renee Ellmers, Republican

“It greatly concerns me that I hear from small business owners in North Carolina that they will not hire more workers because of the costs of this healthcare plan. … I hope Congress and our next President can successfully overturn the law and replace it with healthcare reform that is less partisan, divisive, and doesn’t put the federal government between doctors and patients.”

Pat McCrory, Republican candidate

for governor

“While this is not a perfect law, I applaud the federal government’s effort because doing nothing would cost us more. I still have concerns about the law’s effect on small businesses, and I hope that Congress will take steps to lower any burden on them. For the uninsured, an emergency room visit is the only option, and that’s enormously expensive, and we all pay for it in the end.”

Lt. Gov. Walter Dalton, Democratic candidate for governor