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Five governors opposed expanding program, while 26 have yet to decide.
Double-digit increases are one of the biggest challenges for multinationals, according to Towers Watson.
In wake of court ruling, smaller companies worry costs may rise.
With Supreme Court ruling out of the way, companies can focus on preparing for coming changes.
Supreme Court, in 5-4 vote, rules Congress has power to impose individual mandate.
Supreme Court to issue verdict today on U.S. healthcare overhaul.