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The Biden administration seems unlikely to achieve what remains the holy grail for Medicaid advocates: getting 12 holdout states to expand Medicaid coverage to low-income working-age adults through the ACA. (Photo: Shutterstock)

The Biden administration is quietly engineering a series of expansions to Medicaid that may bolster protections for millions of low-income Americans and bring more people into the program.

Biden’s efforts — which have been largely overshadowed by other economic and health initiatives — represent an abrupt reversal of the Trump administration’s moves to scale back the safety-net program.

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