Policy and Politics

Mark Fisher/CC

The Affordable Care Act passed its second major test before the Supreme Court Thursday. In King v. Burwell the Supreme Court upheld a key measure of the Affordable Care Act, ruling that federal health insurance subsidies should be allowed in all states,  regardless of whether the state has created its own insurance exchange or relies on the federal governments'.

Medicaid's Western Push Hits Montana

Jan 6, 2015

The Affordable Care Act is on the move in Western states, with the governors of Utah, Wyoming and Montana all working on deals with the Obama administration to expand Medicaid in ways tailored to each state.

But getting the federal stamp of approval is just the first hurdle. The governors also have to sell the change to their state legislators, who have their own ideas of how expansion should go.

The latest example is Montana, where the governor and the legislature have competing proposals about how much federal Medicaid expansion cash the state should try to bring in.

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