Shefali Luthra, Texas Tribune

The Patient Protection and Affordable Care Act, President Obama’s signature health care legislation, is constitutional — including the individual mandate that forces Americans to carry health insurance, the U.S. Supreme Court ruled Thursday.

The decision has far-reaching implications for Texas, where leaders have ardently opposed “Obamacare” even though the state has the country’s highest percent of uninsured residents. In addition to requiring all citizens to purchase health insurance, the law dramatically expands Medicaid, which already makes up close to a quarter of Texas’ state budget.