President Trump still wants to overturn Obamacare, but his predecessor’s healthcare law keeps gaining ground in places where it was once unwelcome.
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“That has been an interesting feature of the Trump administration: that momentum among the states to expand Medicaid has not slowed down,” said Jesse Cross-Call, a policy expert with the Center on Budget and Policy Priorities, which advocates for low-income people. Trump is trying to persuade the Supreme Court to toss out Obamacare, but as long as it remains the law his administration has to carry out state-approved expansions. Democratic presidential candidate Joe Biden says he would ask Congress toIn Missouri, support for Medicaid expansion in cities and suburbs overcame opposition in rural communities.
Cindy Mann, who ran Medicaid under Obama, argues that there’s also a strong fairness argument for expansion. About 4.5 million poor adults live in states that have resisted expanding Medicaid. But because of the way the Obama health law is written, they don’t qualify for subsidized private insurance through marketplaces such as HealthCare.gov and are therefore stuck in a coverage gap.
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