First few Article Sentences
The Supreme Court has ruled on the Affordable Care Act and, although it upheld its constitutionality, it opened the door to giving states more flexibility on the expansion of Medicaid. Consequently, a large number of states appear to be opting out of the expansion program, potentially leaving an estimated three million people uninsured who would have been covered before the ruling, according to the Congressional Budget Office. Participation is no longer a requirement, and states no longer risk losing all their federal funding for Medicaid if they don’t participate.