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GOP state legislators in a number of states have said it’s time to accept Medicaid expansion. (Photo of Pres. Johnson signing Medicaid into law,1965: AP)

A new study bolsters the case for expanding Medicaid in the 19 states that have still not taken advantage of one of the central provisions of the Affordable Care Act.

The study, which was led by two researchers at Harvard and MIT and published in Health Affairs, finds that states that expanded Medicaid have not seen increases in state spending on health care services for low-income people. Nor have they seen corresponding decreases in spending on other types of programs.

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