Following the Supreme Court’s landmark decision on the Affordable Care Act (ACA), local and national attention has once again focused on the states as the arenas where implementation of – and opposition to – the law will play out. For uninsured individuals and families who hope to gain from the expanded coverage provided for under the law starting in 2014, the initial response in many states may not have been encouraging. But in the face of this predictable response from opponents, responsible state legislative leaders from around the nation have also been speaking out.