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The Boston Globe

Business

White Coat Notes

Medicaid decision in health care ruling may cause conflicts

In the weeks since the Supreme Court issued its decision on the Affordable Care Act, some health law experts have taken a longer look at the implications. And they are concerned about just how far-reaching the decision could be.

The complicated, multipart decision upheld most of the law, including a requirement that most Americans have health insurance or pay a penalty. But it also said the federal government could not require states to expand Medicaid to cover more of the poor, or risk losing all federal funding for the health program.

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