What this will do is make it very difficult for people and States to understand what they need to do. The question then quickly becomes when Congress goes back to square one and either saves portions of the bill or starts over, how and what will it look like? Will it get passed by Congress? Polarization will be at an all time high if it's struck down in June and nothing will happen until after the election. So we're looking at 2013 before this is even broached again, unless some emergency provisions are put in place so the entire health care system doesn't collapse... what it will do is provide yet another opportunity for American citizens to vote for Congressional membership who will, hopefully, put in place a revised health care system that doesn't bankrupt us and that can cover the most amount of people without forcing people to purchase said insurance.