In one of the most anticipated Supreme Court decisions in years, the high court upholds the majority of President Barack Obama's Affordable Care Act.

President Obama says the Supreme Court decision is a victory for people all over the country.

But critics of so-called "Obamacare" are vowing to seek its repeal, alleging it will decrease access and increase cost.

In a 5-4 vote, the justices ruled nearly all of the Affordable Care Act is constitutional. The justices did limit the law's expansion of insurance for the poor, ruling the federal government cannot withhold a state's medicaid funding if it doesn't participate.

The President and CEO of Aspirus in Wausau says no matter what the high court ruled, the local health care provider will continue to focus on quality care for all patients.

Duane Erwin says regardless if the law is constitutional, Aspirus will keep moving forward.

"What's important is healthcare and quality is at the core of healthcare reform it's really why we're going through this whole process federally, but it's also fortunately at the core of what Aspirus does," Erwin said.

He says Aspirus has been diligently preparing for years to address reform, and even though the high court has spoken, they're still uncertain of how everything will play out.

But the business has been making changes under the health overhaul, including forming an accountable care organization with other health systems, which assures quality, cost and overall care to medicare beneficiaries.

It has also created the Aspirus Physician Partnership to align more closely with doctors.

Erwin says he's supportive of the provision that insurance companies not deny coverage to people with pre-existing conditions, but has concerns about the overall cost of reform and getting reimbursed for medicaid and medicare.

More than 90 percent of Wisconsin residents have some form of health coverage.