Some earn too much money to qualify for subsidies , but not enough to obtain ACA benefits . 26 states decided not to expand Medicaid after the Supreme Court 's decision . Yvonne , who did n't give her last name , started by telling me that she had been able to get off Medicaid in the past year . Those who ' n't get Medicaid or who ca n't pay a fine for not getting health insurance .
Some earn too much money to qualify for subsidies , but not enough to obtain ACA benefits . 26 states decided not to expand Medicaid after the Supreme Court 's decision . Those who ' n't get Medicaid or who ca n't pay a fine for not getting health insurance .