The Week (US)

Richmond, Va.

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Obamacare win: Virginia’s Republican­controlled legislatur­e voted to expand Medicaid under the Affordable Care Act last week. Roughly 400,000 low-income Virginians will gain access to the federal public health insurance program next year. The Affordable Care Act gave states the option to expand Medicaid starting in 2014, but GOP lawmakers in Virginia successful­ly blocked it for years. The Republican resistance began to crumble after Democrats made sweeping gains in last year’s state elections, with now–Gov. Ralph Northam campaignin­g heavily on health-care issues. To win Republican votes, Democrats in the statehouse agreed to require adults without disabiliti­es to work or volunteer in order to receive benefits. Ultimately, enough Republican­s voted for the expansion that it could have passed without any of the new Democrats who won seats in the state legislatur­e last year. Virginia is the 33rd state to expand Medicaid under Obamacare.

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