Now that Congressional efforts to repeal or replace the Affordable Care Act (ACA) have abated, North Carolina and the other 17 states that have not expanded Medicaid can consider whether to do so going forward.
With the ACA in its fifth year of full expansion, we now have an established track record in the expanding states to help estimate what the actual costs of expansion will be to the states and how those costs have compared to states’ projections. The strong balance of objective evidence indicates that actual costs to states so far from expanding Medicaid are negligible or minor, and that states across the political spectrum do not regret their decisions to expand Medicaid.
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See actual empirical study here.
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