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States may opt out of Medicaid expansion

Court ruling made refusal local decision

Legislators in many states, from tiny New Hampshire to Texas, say they are inclined to resist the expansion of Medicaid that is intended to provide coverage for 17 million uninsured people. Before the high court’s decision on Thursday, states that did not comply had been threatened with the loss of all federal Medicaid funds, which have covered an average of 57 percent of the cost of the program.

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