The Supreme Court's decision to uphold the Affordable Care Act means that about 100,000 people in Cook County may now receive Medicaid, saving the county's Health and Hospitals system millions of dollars. That's good news for Cook County Board President Toni Preckwinkle who announced yesterday that the county faces a $268 million deficit. About $152 million of the shortfall is from the Health and Hospitals system.

Cook County's annual budget is around $3 billion. Preckwinkle has tried a few ways to get the county in better budgetary shape, including a hiring freeze.