PIERRE, S.D. — A quirk in the federal health care law that could force tens of thousands of people who identify as Native American to start paying for insurance or pay a fine isn’t expected to affect many people in the Dakotas.
The U.S. Supreme Court on Thursday upheld nearly all of the landmark federal health law, affirming its mandate that most everyone carry insurance, but complicating the government’s plan to extend coverage to the poorest Americans.
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