Policy Spotlight

Last month, the Supreme Court ruled that states were free to choose whether they want to participate in the Medicaid expansion or not. If a state chooses not to participate in the expansion, Congress does not have the authority to withhold all other Medicaid funds to that state. If a state decides to participate in the expansion, it must adhere to the conditions attached to Medicaid funds. The law and the Court's ruling raise important questions states should understand before making the decision to accept or reject President Obama's Medicaid expansion.

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