In the weeks since the Supreme Court issued its decision on the Affordable Care Act, some health law experts have taken a longer look at the implications. And they are concerned about just how far-reaching the decision could be.

The Medicaid decision may have big ramifications, Wendy Parmet, associate dean for academic affairs at Northeastern University School of Law, said in a panel discussion this month.

“It raises enormous questions about the future of state and federal relations,” said Parmet, who filed briefs in support of the law.