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Medicaid What’s really important is that no state has gone in reverse, even those states that switched from Democratic to Republican governments after implementing expanded Medicaid. (Image: Shutterstock)

Medicaid expansion is still going strong. And Virginia may have just given us a preview of another wave.

The Virginia Legislature on Wednesday, despite very narrow Republican majorities in both chambers, voted for the piece of Obamacare that the Supreme Court had made optional for the states. After Virginia, there are only 17 holdouts — including Texas and Florida.

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