The U.S. Supreme Court has issued a 7-2 ruling that keeps the Affordable Care Act in place, at least until the next challenge. In this ruling, the court held that Texas, along with other states opposing the ACA, and two self-employed Texas men in Texas had "no standing to challenge the constitutionality of the ACA's individual coverage ownership mandate", to overturn the Act.
For now, it is pretty much 'business as usual' as far as insurers who issue coverage under the current provisions of the ACA. Nothing really changes regarding any of the existing provisions according to the majority opinion written by Justice Stephen Breyer.
The majority opinion,1 to summarize, essentially held that since Congress had zeroed out the 'the penalty for the ACA's minimum essential coverage provision - individual mandate' when it passed the Tax Cuts and Jobs Act of 2017, those provisions, nor the Act itself, can actually hurt (impact) taxpayers, so taxpayers have no standing to sue in regards to the provisions of the Act.
So, the Affordable Care Act remains the law of the land, it will continue to be the foundation for health coverage for more than 300+ million Americans who have no other source of access to affordable coverage.
Disclosure:
1 - URL link is the official 'opinion' found on the official website of the United State Supreme Court.