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Insurance Coverage, Access to Care, and Medical Debt Since the ACA: A Look at California, Florida, New York, and Texas

Medicaid expansion decisions impacted four largest states

The country’s four largest states fall into two camps when it comes to health care reform. California and New York expanded Medicaid eligibility under the ACA and operate their own health insurance marketplaces. Florida and Texas, on the other hand, opted out of the expansion and use the federal marketplace. In a new report, Commonwealth Fund researchers show how those choices have led to starkly different experiences for each state.

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