Rupert, Idaho (KMVT-TV) In a ruling last week on the national health care law the supreme court found congress could not order people to buy private health insurance.

So, what does this mean for smaller hospitals?

"People still get sick, still hurt themselves, there still going to need repairs made to their bodies and the most affected healthcare and most cost effected healthcare continues to be taking care of yourself" said Carl Hanson, Administrator, Minidoka Memorial Hospital.

The Minidoka memorial hospital will be seeing changes over the next few years due to the supreme court ruling on healthcare.

"We anticipate that there will be a lot more technology involved perhaps not as much as to the day to day care of a patient but from the management that comes from the information of the patient” said Carl Hanson, Administrator, Minidoka Memorial Hospital.

The bill calls for an increase emphasis on primary care and prevention.

"Our medical staff is dominated or mostly made up of family doctors, general internist people providing primary care and prevention” said Carl Hanson, Administrator, Minidoka Memorial Hospital.

At this time the hospital doesn't know what major changes will take place and there's a lot of speculation.

"We are interested in what the ACA is going to bring our direction we would like to see more emphasis and primary support to primary care and prevention we think that could be a tremendous cost saving to the country and individuals as well” said Carl Hanson, Administrator, Minidoka Memorial Hospital.

A white house spokesperson says, although calling the individual mandate a tax saved the law... the president considers it a penalty for failing to buy insurance, not a tax.

"We anticipate the changes that are coming that we know are coming to be not that significant when it comes to primary care and prevention at least on the short term” said Carl Hanson, Administrator, Minidoka Memorial Hospital.

On July 11, 2012 house republicans will vote to repeal the affordable care act.

This will set the stage for a renewed battle over one of the Country’s most discussed issues.

An issue which leaves smaller hospitals like Minidoka memorial hospital wondering what changes will be coming down the pipe.