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Well, the Supreme Court has ruled. Good, bad, or ugly, the PPACA is now reality in a big way.

Mitt Romney on Wednesday said requiring all Americans to buy health insurance amounts to a tax, contradicting a senior campaign adviser who days ago said the Republican presidential candidate viewed President Barack Obama's mandate as anything but a tax.

Massachusetts has the nation's highest rate of residents with health insurance. Visits to emergency rooms are beginning to ease. More residents are getting cancer screenings and more women are making prenatal doctors' visits. Still, one of the biggest challenges for the state lies ahead: reining in spiraling costs.

A top adviser says Republican presidential candidate Mitt Romney doesn't see the health care mandate as a tax but as a penalty or a fee or even a fine.

From inspirational speaker and Benefits Selling columnist Brian Hicks to polarizing political figures, the Benefits Selling expo keynotes drew crowds and delivered on entertainment.

It's on his to-do list, but U.S. Senate Minority Leader Mitch McConnell says the odds are against repealing the health care law championed by President Barack Obama.

Though there are many differing reactions among U.S. business sectors to the Supreme Court ruling on the Patient Protection and Affordable Care Act, and a lot of speculation as to changes businesses will make in response, at least one survey paints a rosier picture.

Presidents live in a world of wins and losses quickly forgotten. Rarely are they presented with the kind of defining moment that President Barack Obama experienced when the Supreme Court upheld his health care law.