Landmark health law in limbo after appeals court decision

More than 19 million Americans gained health coverage from 2010 to 2017 as the ACA went into effect, according to the Kaiser Family Foundation.

The Small Business Majority called the ruling a "grave mistake." Millions of small business owners and their employees rely on the exchanges for coverage, John Arensmeyer, the group's CEO, said in a statement.

"Creating additional uncertainty over the future of the ACA is a disaster for America's entrepreneurs: We are concerned this will cause a rapid rise in healthcare costs and create substantial economic instability," Arensmeyer said. He added that the ACA must be upheld to prevent further chaos and confusion in the healthcare system.

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