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The Great Medicaid Expansion of 2014

What It Is and How to Make It Succeed

By Rachel Gielau & Andrea Kovach

A major aspect of the Patient Protection and Affordable Care Act, the health reform law signed in 2010, was to bring health insurance coverage--by broadening Medicaid eligibility to cover people up to 133 percent of the federal poverty level--to some sixteen million U.S. residents who go without it. States are now making choices about how they will implement this expansion, to take effect in 2014. As states decide, advocates should weigh in to make sure that the Act’s promise of quality, affordable health coverage, especially for vulnerable populations, is fulfilled.

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