Last summer, the Supreme Court said states have the right to opt out of the law’s Medicaid expansion.
Eighteen states aren’t expanding their programs, including populous Texas and Florida. In nine other states, the outcome remains unclear.
Under the law, Medicaid is the only coverage option for people below the poverty line — $11,490 for an individual or $23,550 for a family of four. People this poor cannot get subsidized private coverage in the new health insurance markets.
The poor will be exempt from penalties for being uninsured, but they also won’t get help with their health care.
Medicaid already covers more than 60 million people, including many elderly nursing home residents, severely disabled people of any age and many low-income children and their mothers.
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