Rural Hospitals That Have Suffered the Most Have Been Those

Rural hospitals that have suffered the most have been those ______.

A) in states that have taken up the Affordable Care Act's offer to expand Medicaid coverage at the federal government's cost
B) in states that have not taken up the Affordable Care Act's offer to expand Medicaid coverage at the federal government's cost
C) in states that have taken up the Affordable Care Act's offer to expand Medicaid coverage at the local government's cost
D) in states that have not taken up the Affordable Care Act's offer to expand Medicaid coverage at the local government's cost