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In this undated photo shows part-time home health care provider Debra Walker in her home in Houston. The repercussions of expanding Medicaid go beyond state budgets, directly affecting the well-being of residents and the finances of critical hospitals. Awaiting those decisions are people like Walker, who had a good job with health insurance until she got laid off. AP Photo/Pat Sullivan

Money fears vs. benefits in Medicaid choice

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WASHINGTON — President Obama thinks his health care law makes states an offer they can’t refuse.

Whether to expand Medicaid, the federal-state program for the poor and disabled, could be the most important decision facing governors and legislatures this year. The repercussions go beyond their budgets, directly affecting the well-being of residents and the finances of critical hospitals.

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