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What Virginia’s Vote Means for the Future of Medicaid Expansion

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Perhaps more than any other state, Virginia is a microcosm of the national debate over the ACA and its Medicaid expansion over the past six years. After the Supreme Court’s NFIB v. Sebelius decision in 2012 made the expansion optional for states, Virginia became part of the firewall of 25 Republican-led and swing states that initially refused to change their Medicaid programs, which traditionally covered only a small subset of low-income families and people with disabilities.”

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