Hendrick Medical Center officials say it's been making all necessary adjustments since the so-called "Obamacare" became law back in 2009.
But in a state where one in four has no health insurance, you can bet things might be different in the long run.
"What happened today really results in little if any change to what we were doing immediately before the decision," said Hendrick CFO Stephen Kimmel.
In fact, a provision of the health care law allows states to decide whether they'll expand health coverage for low income families, otherwise known as Medicaid.
"We will be watching with a great deal of interest on the decisions that are made in Austin as a result of this new flexibility," Kimmel said.
If Texas chooses to cover more people through Medicaid, it could mean more patients at hospitals like Hendrick, which it says it's ready to receive.
But what does this mean for the price of health care?
"I don't think that you're going to see upward pressure on pricing. I think under the intent of the legislation, you'll actually see more stability in prices actually for health care," Kimmel added.
Another change: Federal funding will now be based on quality rather than quantity.
"If you meet certain quality benchmarks, then that may result in enhanced payments. And if you don't meet quality benchmarks, you won't get as much in payment," Kimmel said.
ACU political science and psychology professor Dr. Robert McKelvain said Thursday's decision, unlike many others made by the high court, will directly affect you and your neighbors.
"It will make a great deal of difference in the next 10 years as this law comes into effect, the quality of your life and the health that you have," he said.