the federal government would have paid a whopping 93 percent of the costs of Medicaid expansion until 2022 and no less than 90 percent of the cost of covering people made newly eligible for Medicaid on a permanent basis. Nonpartisan groups such as the Congressional Budget Office (CBO) estimated that expansion would ultimately lead to a 2.8 percent increase in Medicaid spending for states like Tennessee from 2014 to 2022. Yet this increase paled in comparison to the net savings that state and local governments would realize in health care spending for the uninsured—up to $101 billion in
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