Texas secedes: Medicaid grows, states go.

AuthorSuderman, Peter
PositionCitings - Brief article

WHEN THE Patient Protection and Affordable Care Act--a.k.a. ObamaCare--was first drafted, state leaders complained that the law's expansion of Medicaid would impose an impossible fiscal burden on them. In response, backers of the law argued that the federal government would pick up 90 percent of the new costs. Several states came back with a reply of their own: a threat to drop out of Medicaid entirely.

ObamaCare is projected to expand insurance coverage to an additional 32 million Americans by the end of the decade. Fully half of that expansion is expected to occur within Medicaid, a joint federal-state health insurance program for the poor.

Medicaid spending has grown rapidly in recent years and is now the single largest budget item for states. But states have...

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