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Republican lawmakers from Missouri and Kansas reacted with dismay to the ruling, and renewed pledges to repeal Obamacare.

“For four years, we have waited, begged and pleaded for Republican leadership to allow us to debate and pass a patient-centered replacement,” said U.S. Rep. Tim Huelskamp, R-Kan. “Now is the time to act — now is the time to keep our word to the American people.”

Sen. Roy Blunt, R-Mo., said he was disappointed in the high court’s ruling, but promised to “keep fighting to protect Missourians from the president’s flawed health care plan and replace it with a patient-centered system that lowers costs, increases choices, and provides greater access to quality care.”