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The ACAs Medicaid expansion is optional, but 40 states and DC have expanded Medicaid, extending eligibility to adults with household income up to 138% of the poverty level

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This study revealed a significant interaction between high plasma C3 levels and heavy smoking in relation to the prevalence of CHD

But most state governments have decided to prioritize other things: Colorado has spent tens of millions of its share to support a literacy program, while Kentucky has invested half of its money in agricultural programs