If the Supreme Court issues a ruling later this month that financial subsides on the federal health care exchange are legal in King v. Burwell, it would be time to shift the conversation about the Affordable Care Act and focus on substance, the secretary of the Department of Health and Human Services said Thursday.

Post-decision, Secretary Sylvia Mathews Burwell said she is hopeful that the conversation will move to a space “where we are all working together to improve affordability, quality and access.”

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