Tim Burga, Ohio AFL-CIO president: The decision “validates the hard work that we as a nation have done to advance our policies toward achieving affordable health care for all. While this is a big step forward, we still have more work to do. Here in Ohio, we must now undertake the task of implementing the law, including the creation of health-care exchanges. I look forward to working with the [Gov. John] Kasich administration as the state moves forward in that regard.”

Randy Carpenter, spokesman for the Council of Smaller Enterprises (COSE), which represents more than 14,000 small businesses in Northeast Ohio: “With nearly 40 years of experience in small business health care, COSE understands the challenges small businesses face accessing insurance. The law works to address this issue, which is a step forward. However, true progress can only be made if we address the cost of care and the resulting cost of health insurance to small businesses and their employees. Now that we have a clearer direction, COSE looks forward to continuing its advocacy efforts and acting as a voice and resource for small business.”

J. Dean Carro, University of Akron law professor and expert on U.S. constitutional law: “It has terrific impact. We have had a problem for decades in terms of how we deliver, as a country, health-care services. This is an important landmark in delivering services to all American citizens.”

In terms of comparisons to the 1954 landmark Brown v. Board of Education decision, he said, “It’s different, in the sense that Brown v. Board of Education wiped out centuries of legal discrimination. It’s not quite like that, but it’s momentous because of the societal need being addressed, and my guess is that’s probably why people are saying it’s landmark. When almost 10 percent of your population can’t get adequate medical care, that’s a significant societal problem.”

Patricia Frost-Brooks, president of the Ohio Education Association, which represents 124,000 teachers, faculty members and support professionals: “Before [President Barack] Obama’s ACA (Affordable Care Act), too many young people were uninsured and had their lives and education interrupted by overwhelming medical bills and insurmountable debt. I know that most parents are relieved that their children can now begin adult lives without living in fear that a single illness will derail their future and their success.”

U.S. Rep. Bob Gibbs, R-Lakeville: “Ohioans overwhelmingly supported a ballot initiative that Obamacare is bad for them and bad for the economy. The Supreme Court today reinforced that Obamacare is in fact a massive tax increase on the American people and I look forward to standing with my fellow Ohioans and repealing Obamacare once and for all.”

Gov. John Kasich and Lt. Gov. Mary Taylor: “The administration will carefully analyze the decision to determine the appropriate next steps. We are very concerned that a sudden, dramatic increase in Medicaid spending could threaten Ohio’s ability to pursue needed reforms in other areas, such as education. Going forward, we remain committed to minimizing the law’s drag on the economic growth Ohio is beginning to experience, protecting the inviolate relationship between doctors and patients, and preserving as much free market competition in health care as possible.”

U.S. Rep. Steve La-Tourette, R-Bainbridge Township: “I’ve always believed there were some good things within the law, like covering pre-existing conditions and keeping your children on your insurance up to age 26. Now that the highest court in the land has spoken, I still worry the law takes away from the patient/doctor relationship and puts more decisions in the hands of bureaucrats. I remain concerned that the law lacks common sense and does nothing to reduce cost for those who currently have coverage and there are a whole slew of new taxes that are certainly not good for hardworking taxpayers.”

Jeff Matthews, chairman of the Stark GOP: “Moving forward, this ruling proves the dire need to ensure Mitt Romney is elected in November and Barack Obama is a one-term president. Ohioans have made their voices heard on the issue of health care by showing their overwhelming support for Issue 3 this past November and, despite this ruling, we are confident Ohioans will make their voices heard again at the polls this November.”

U.S. Rep. Jim Renacci, R-Wadsworth: “While the court has determined that the law complies with the Constitution, that doesn’t mean it complies with common sense. I remain committed to the full repeal of this law and replacing it with common-sense reforms that will drive down costs and preserve a high quality of care for all Americans.”

U.S. Rep. Tim Ryan, D-Niles: “The goal of this legislation has always been to help reduce the cost of health care for businesses and make the system more compassionate and humane for our people. ... Much work still needs to be done and I would love to sit down with my Republican friends to see how best to improve upon the current system..”

U.S. Rep. Betty Sutton, D-Copley Township: “It is past time for members from both parties to move on to the major economic problems facing our country — creating jobs and helping small businesses grow. While there is still more work to do to lower health- care costs for all Americans, Congress needs to get its priorities straight; we will never get ahead unless the focus is on creating jobs and getting our economy back on track.”

Tom Zawistowski, president of the Portage County Tea Party and executive director of the Ohio Liberty Coalition: “Our only recourse is through the election process, which is why our movement is committed to winning the presidential race and Senate races in Ohio. ... It is up to us to convince our fellow Ohioans to vote for conservative candidates in November. Our future as a nation is in our own hands and I am confident that the citizens of Ohio, and of our nation, will make their opinions clear at the ballot box in November.”