Some earn too much money to qualify for Medicaid , but not enough to obtain ACA subsidies . 26 states decided not to expand Medicaid after the Supreme Court 's decision . When I described Yvonne 's situation to Bevin , he was sympathetic but immediately replied , `` Where is the money going to come from ? '' The federal government will pay 100 % of costs in those states that opt out and cover all eligible people with no additional cost sharing or premium tax credits.
Some earn too much money to qualify for Medicaid , but not enough to obtain ACA subsidies . 26 states decided not to expand Medicaid after the Supreme Court 's decision . The federal government will pay 100 % of costs in those states that opt out and cover all eligible people with no additional cost sharing or premium tax credits.