President Obama is giving the holdouts a second chance. In remarks at a town hall gathering late last week, the president said he plans a final push to get every state to expand Medicaid

"We're hoping to encourage more states to do the right thing," Obama said, according to Reuters.

There remain 19 states that do not participate in the expansion of Medicaid that was set up as a major component of the Patient Protection and Affordable Care Act. Although a handful of states — most recently Louisiana — have changed course since PPACA's implementation, many of the remaining holdouts, all of which are Republican-controlled, are stubbornly opposed to the expansion, which extends coverage to those with incomes up to 138 percent of the federal poverty level. 

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