Service industries expanded in April at the fastest pace in eight months, a sign the biggest part of the U.S. economy will bolster growth this quarter.

To understand the state of Medicaid today, it is important to understand the costs of the program and the expenses state legislatures face every year.

With enrollments in insurance plans under the PPACA rising and polls showing that most Americans want to keep the law, Democrats are increasingly encouraged that they have defused some of the criticism over the botched rollout of Obamacare last year.

Insurers will use the spreadsheet to find out if they owe PPACA rebates.