The Supreme Court has dismissed a challenge to the Obama era health care law, preserving insurance coverage for millions of Americans.

The justices left the entire law intact Thursday in ruling that Texas, other Republican-led states and two individuals had no right to bring their lawsuit in federal court.

The law’s major provisions include protections for people with pre-existing health conditions, a range of no-cost preventive services and the expansion of the Medicaid program that insures lower-income people, including those who work in jobs that don’t pay much or provide health insurance.

Also left in place is the law’s now-toothless requirement that people have health insurance or pay a penalty.

Congress rendered that provision irrelevant in 2017 when it reduced the penalty to zero.

U.S. Senator Catherine Cortez Masto (D-NV) issued the following statement after the Supreme Court ruled to dismiss the California v. Texas Affordable Care Act (ACA) case.

“Every American deserves access to affordable health care. I’m glad that the Supreme Court denied this politically-motivated attempt to jeopardize the care of millions of Americans, including 1.2 million Nevadans with pre-existing conditions. The Affordable Care Act has been a lifeline for our state during the pandemic, allowing thousands of uninsured individuals to access care. I’ll keep working to expand access and lower health care costs for all Nevadans and Americans.”

U.S. Senator Jacky Rosen (D-NV) released the following statement:

“I am thrilled to see the Supreme Court upheld the Affordable Care Act as the law of the land. This is an important day for our nation,” said Senator Rosen. “Ensuring that all Americans have access to quality, affordable health care is more important than ever – and this decision will impact the lives of Nevadans and Americans in wide-reaching and profound ways. I will continue to be a fierce advocate for Nevadans and their health care – now and always.”

Supreme Court Dismisses Challenge to Obama Era Health Law

(The Associated Press contributed to this report.)