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Now that the Supreme Court has ruled to uphold the Affordable Care Act, states are shifting their focus to meet the law’s rapidly approaching deadlines. On Jan. 1, 2013, states must demonstrate to the Department of Health and Human Services that new state exchanges—through which individuals will buy insurance coverage—will be operational the next year. But a number of Republican-led states like Florida, Texas, and Wisconsin that were gambling on the SCOTUS decision and stalling on Obamacare must now scramble.