A report from the Congressional Budget Office shows that the cost of the Patient Protection and Affordable Care Act (PPACA) is rising, largely due to dramatic increases in Medicaid enrollment.
More people have signed up for Medicaid in the past year than the nonpartisan budget agency anticipated a year ago. Anticipating enrollment has been tricky, however, because enrollment is so closely tied to political decisions made by state leaders.
In the past year a number of states that previously rejected the big cash offer from the federal government to expand Medicaid have reversed their decision, adding thousands to their Medicaid rolls.
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