The U.S. Supreme Court upheld on Thursday, June 25, a key provision of the Affordable Care Act, or ACA, keeping health insurance coverage within reach for millions of Americans.

Thirty-four states in the U.S. are reliant on the federal exchange for ACA enrollment of their residents. Now, with the court’s 6-3 ruling, residents of those states can continue to access subsidies to help them pay for health coverage through the federal exchange.

We discussed the ruling with Heather Howard, director of the State Health Reform Assistance Network and lecturer in public affairs at Princeton University’s Woodrow Wilson School of Public and International Affairs.