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State-by-State: How Health Reform Could Expand Medicaid

Experts estimate that nearly 16 million Americans could be added to the Medicaid rolls by 2019 under an expansion in the Affordable Care Act. The Supreme Court ruled Thursday that states can opt out without risk of losing federal support for Medicaid, raising the stakes that some may do so. Here is a look at forecast growth in state Medicaid rolls under the expansion. Twenty-six challenged the act in court. | Related: Mystery After the Health Care Ruling: Which States Will Refuse Medicaid Expansion?

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15.9 million

Total New Enrollees

Sources: Kaiser Family Foundation

Medicaid Coverage and Spending in Health Reform: National and State‐by‐State Results for Adults at or Below 133% FPL. Prepared by: John Holahan and Irene Headen, Urban Institute, May 2010