The Affordable Care Act originally required that state governments

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The Affordable Care Act required state governments to expand their Medicaid programs to cover all individuals with incomes up to 138% of the federal poverty level. States that refused to do so would risk losing all of their Medicaid funding from the federal government. This requirement was challenged in court and ultimately modified by the Supreme Court in 2012, which allowed states to choose whether or not to expand Medicaid.

The Affordable Care Act Originally Required That State Governments