The U.S.Supreme Court substantially limited the Patient Protection and Affordable Care Act's expansion of Medicaid.

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The Patient Protection and Affordable Care Act was passed by the U.S. Congress in 2010. In the National Federation of Independent Business v. Sebelius case, the 5-4 decision upheld the individual mandate requiring all Americans who are not exempt for religious or other reasons and who can afford health insurance coverage to obtain coverage or be subject to a penalty. The Supreme Court substantially limited the Affordable Care Act's expansion of Medicaid.

The USSupreme Court Substantially Limited the Patient Protection and Affordable Care