In his 1996 State of the Union address, President Bill Clinton proclaimed, “The era of big government is over.” That prediction turned out to provide more of a short-term rhetorical evasion than signal a lasting change in the direction of national policy. But after last week’s Supreme Court decision in King v. Burwell, it would be more accurate to say: “The era of big lawsuits against Obamacare is over” Nevertheless, several other types of challenges to the future path and pace of implementation of the Affordable Care Act (ACA) remain ahead. As one door closes, others open.