It was largely conservatives who blocked President Trump's attempts to repeal the Affordable Care Act, arguing that his proposed replacement bill was "Obamacare light." The consequence, noted Speaker Paul Ryan, is that the ACA remains the law of the land.

In fact, now that the ACA repeal is dead, there is a fresh push around the country, including by Republicans, to further solidify President Barack Obama's signature domestic policy.

In 19 states that have still not accepted the ACA Medicaid expansion, political leaders in both parties are pushing to reverse course.

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