The Arizona Supreme Court upheld the state’s Medicaid expansion plan, ruling the money paid by hospitals to draw down federal funds is, in fact, an assessment and not a tax.

Howard Fischer of Capitol Media Services talked about the decision and what it means.

The high court ruled Friday on a challenge brought by Republican lawmakers who opposed the Medicaid expansion plan championed by former Gov. Jan Brewer in 2013.

Losing the assessment could have forced major enrollment cuts.

The lawmakers' lawyers argued that the hospital assessment is actually a tax that required a two-thirds vote under a voter-approved 1992 Constitutional amendment.

Brewer only got a majority of lawmakers to back the plan.

The state's Medicaid agency and a group representing Medicaid recipients argued an exemption for fees set by state agencies means the hospital assessment is legal. Lower courts agreed with that argument.

The Associated Press contributed to this story.