This week at the General Assembly was relatively quiet on the surface, as tensions and disagreements between the chambers continue to roil behind the scenes. The biggest news came not from 16 West Jones Street but from the U.S. Supreme Court, with back-to-back decisions that impact North Carolina politics. With the 6-3 decision in King v. Burwell, the Supreme Court upheld the legality of the Accountable Care Act, known as “Obamacare,” which confirmed that subsidies in non-expansion states (including NC) could continue. The decision created a firestorm of statements both for and against by politicians and also renewed calls for an immediate expansion of Medicaid in North Carolina. The Governor responded by asserting that Medicaid has to be “fixed” before expansion can be considered, complicating the stakes of the ongoing battle over the legislature’s reform plan. Whether expansion can or will be part of the negotiations on a Medicaid Reform Plan is yet to be seen with legislative leadership still firmly opposed to expansion. Read the full report here.