On Thursday, the U.S. Supreme Court, in a 5-4 decision, upheld the constitutionality of the core of the Affordable Care Act. The historic ruling enables California to continue its expansion of the state's Medi-Cal program and create a health insurance exchange. An estimated 7 million uninsured residents will need to find insurance when the individual mandate is enacted. With Diana Dooley, California Health and Human Services Secretary.