In the weeks since the Supreme Court issued a decision on the Affordable Care Act, some local health law experts have taken a longer look at the implications. And they’re 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 during a panel discussion last week.

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