A Supreme Court decision allowed states to opt out of the Medicaid expansion under the ACA. In states that do not participate, who is left without healthcare coverage?

Question

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Childless adults are often left without healthcare coverage in states that choose not to participate in the Medicaid expansion under the Affordable Care Act (ACA), as the expansion was designed to cover adults with incomes up to 138% of the federal poverty level, including those without children.

A Supreme Court Decision Allowed States to Opt Out of the Medicaid