The U.S. Supreme Court released its highly anticipated decision on the challenges brought by states and other organizations to the Affordable Care Act.

Legal analysts report that the requirement that individuals buy health insurance or pay a tax is upheld by a vote of 5-4, and the federal government’s power to terminate states’ Medicaid funds is narrowly read. Read the opinion here.

Justice Anthony Kennedy, reading from the dissent, said the dissenting judges believed the entire act before them is invalid in its entirety.