Liberals and millions of Americans collectively sighed in relief as the Supreme Court announced in a 5-4 decision that President Barack Obama’s health care reform law would be upheld in its near entirety Thursday morning.

For 30 million or so uninsured Americans it means a shot at health coverage, whether they couldn’t afford it or couldn’t qualify for it before the law. For many others, the Court’s decision means the burden of another unwanted tax. Whether elated or angry, most are just happy to finally have a decision.

However, there is no time to cheer or cry as there is still much work to be done, from states getting their insurance exchanges up and running to employers familiarizing themselves with the law to meet compliance to conservatives gearing up for the next battle: the November election.

Obama after decision

President Barack Obama speaks in the East Room of the White House in Washington, Thursday, June 28, 2012, after the Supreme Court ruled on his health care legislation. (AP Photo/Luke Sharrett/Pool)

Supreme Court Justices reading

This artist rendering shows Chief Justice John Roberts, center, speaking at the Supreme Court in Washington, Thursday, June 28, 2012. From left are, Justices Sonia Sotomayor, Stephen Breyer, Clarence Thomas, Antonin Scalia, Roberts, Anthony Kennedy, Ruth Bader Ginsburg, and Elena Kagan. (AP Photo/Dana Verkouteren)

Health reform protestors

Demonstrators react to the Supreme Court landmark decision on health care, Thursday, June 28, 2012, outside the court in Washington. (AP Photo/Evan Vucci)

Romney health reform reaction

With the Capitol in the background, Republican presidential candidate, former Massachusetts Gov. Mitt Romney speaks about the Supreme Court’s health care ruling, Thursday, June 28, 2012, in Washington. (AP Photo/Charles Dharapak)

Health reform protesters argue

People argue outside the Supreme Court about a landmark decision on health care, Thursday, June 28, 2012, in Washington. (AP Photo/Evan Vucci)

Hillary Rodham Clinton health reform

U.S. Secretary of State Hillary Rodham Clinton delivers a brief statement on the Supreme Court’s ruling on health care, Thursday, June 28, 2012, after arriving in St. Petersburg, Russia. (AP Photo/Haraz N. Ghanbari, Pool)

John Boehner health reform

House Speaker John Boehner of Ohio, accompanied by House Majority Leader Eric Cantor of Va., talks about the Supreme Court’s ruling on the Affordable Care Act, Thursday, June 28, 2012, during a news conference on Capitol Hill in Washington. (AP Photo/J. Scott Applewhite)

Nancy Pelosi health reform

House Minority Leader Nancy Pelosi of Calif. relays the breaking news to her staff that the Supreme Court had just upheld the Affordable Care Act, Thursday, June 28, 2012, on Capitol Hill in Washington. Pelosi, the former speaker of the House, was instrumental in helping to pass health care reform in Congress and was at President Obama’s side when he signed it into law. (AP Photo/J. Scott Applewhite)

wall street health reform

Specialist Jay Woods, right, works with traders on the floor of the New York Stock Exchange Thursday, June 28, 2012. Stocks dropped sharply Thursday after the Supreme Court upheld the central provision of President Barack Obama’s health care overhaul, a requirement that almost all Americans carry health insurance. (AP Photo/Richard Drew)

health reform decision wait

William Temple, of Brunswick, Ga., waits outside the Supreme Court for a landmark decision on health care on Thursday, June 28, 2012 in Washington. (AP Photo/Evan Vucci)