Some efficiencies, however, are being encouraged by the act, including the creation of accountable care organizations in which providers join together to provide coordinated, cheaper care with less repetition. Baptist Health South Florida, Florida Blue and a doctors’ group recently announced the start of one such effort.

On Thursday, Baptist issued a statement that going forward, “the burden is on all hospitals, doctors, insurance companies and healthcare providers to collaborate on improving quality, reducing costs and eliminating waste.”

The act, which runs to more than 2,000 pages, had already left many South Floridians confused. Tony Perez, a South Dade resident and retired military reservist, was enthusiastic about one provision, which allowed parents to keep adult children on their policies up to age 26. Perez had his family on Tricare, the health policy for the military, but Tricare rejected his 24-year-old son, saying the law didn’t apply to that company.

“It seems odd to me,” Perez said. “I don’t really understand the logic here.”

Tricare did not immediately respond to a request for comment.

Corinna√ Olson, an Episcopalian priest in Miami, said in response to a Herald inquiry that she was “very happy” about the Supreme Court ruling. “It will change for some of my family who had troubles getting insurance because of pre-existing conditions.”

She added: “I did pray for this outcome.”

Miami Herald staff writer Douglas Hanks contributed to this article. This article includes comments from members of HeraldSource, part of the Public Insight Network. To learn more about the network or to join, visit MiamiHerald.com/insight.