With the return of Donald Trump to the White House and Republicans taking full control of Congress in 2025, the Affordable Care Act’s Medicaid expansion is at risk of being cut. Nine states, including Arizona, Arkansas, and Indiana, have trigger laws that would end their Medicaid expansions if federal funding decreases. This could potentially leave over 3 million adults without health coverage. The Medicaid expansion, which covers low-income Americans, has been in place since 2014 and has helped bring down the uninsured rate. Conservative groups argue that the program is costly, while Democrats say it has saved lives. Congress is considering reducing federal funding for Medicaid expansion, which could force states to make difficult decisions regarding coverage.
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