The issue was certainly at the forefront of heated debates back in 2010, but analysts say it's going be a different story this time around. In fact, some say it will have little impact on President Obama's run for re-election.
Geoff Skelly with the Center for Politics says Republicans will key in on the issue being a violation of individual rights, despite the ruling.
He also expects Democrats to play on the parts of the reform that have received an overwhelming amount of support such as child staying on their parents insurance until age 26.
Ultimately, analysts don't believe this will hurt the President, because the main issue in this election is jobs.
"Essentially what the court has done is thrown this back to the people, and they're going to vote. If they choose Obama again the law will remain in place, if they choose Romney, Republicans are probably going to try to overturn it through congressional legislation. But at the end of the day the number one issue is the economy," says Skelly.
Mitt Romney recently campaigned with Governor Bob McDonnell hoping to strike down the law.
Natalie Wilson joined the NBC29 news team as a general assignment reporter in April 2012.Full Story
Natalie Wilson joined the NBC29 news team as a general assignment reporter in April 2012. She is a proud alum of Howard University and is currently pursuing her Master's in Communication at Johns Hopkins. Email/ Full Story