Actually, this is a major ruling. It is more than "abortion"; it is whether or not the 1st Amendment is still valid. Do we still have 1st Amendment rights in this country? That is the actual question being answered here.
It is actually the question being challenged in the Same Sex Marriage debate. Do people who disagree or oppose the idea of SSM still have 1st Amendment rights in this country; or, are they being abolished by political correctness of special groups?
This all ties in with the left’s desire to do away with freedom of religion (unless you are a Muslim jihadist). In the past few years, leftists have started talking about how they support “freedom of worship” - note, not freedom of religion. So, they might recognize your right to be against abortion or homosexuality and say something against those things in the privacy of your church building or home - but once you are in public you will be forced to support these things. There is no freedom of conscience for those who have the “wrong” ideas. And then the private sphere where the left allows “freedom of worship” will get smaller and smaller. Then the First Amendment will only be used to protect pornography. There won’t be any First Amendment protections recognized for religion or political dissent.