As more Americans now acquire health insurance as the full effects of the Affordable Care Act take place over the next year, it may mean changes to your trip to the doctor’s office, even if you’re already covered.

Baptist Heart Specialist Cardiologist Ruple Galani says there are only so many doctors, so hiking the demand on those physicians could have some complications.

“Volume increase is sometimes good but then does that affect our quality of care,” he says.

Because the meat of the law won’t take effect immediately, Galani says it is impossible to tell exactly what the implications of today’s Supreme Court ruling will be. But he is somewhat concerned.

“We may not be able to provide services as quickly and as efficiently as we want just do to a manpower shortage,” he says.

But that’s not a statement on the law itself. Galani says there are definite high points in the ruling, including the ability of more Americans to obtain affordable health care coverage.

Duval County Medical Society President Ashley Norse says that point really drives home the fundamental goal of the society- ensuring access to quality healthcare. She says the focus of physicians right now needs to be on maintaining that guarantee while the politics behind the law continues.

“We just want to make sure that patient care doesn’t get interrupted as city, state and federal officials try to work through what the Supreme Court ruling means,” she says.

One of the points she says still need to be sorted out is the expansion of Medicaid. Because the Court did not require states to participate in the expansion, she says they are waiting to hear from the Governor, Attorney General and state legislature to see where that will go.

Galani says there are some parts of the law that have immediate effects, such as the ability of dependents to stay on a parent’s health care coverage longer. But day-to-day operations will continue much as they are now.

Norse doesn’t handle too many questions about the law from her emergency room patients, but Galani says a number of his patients have voiced concern over what the ruling means to them. For now, he tells them not much will change excepting the normal yearly edits you may see to your plan, but the biggest changes will rise in the coming years.