Whether you'll need to prepare for a vastly expanded Medicaid patient population now depends on your state government.
You can check out sites such as this that have begun aggregating the status of all 50 states based on whether they will definitively accept federal ACA dollars to boost their Medicaid program, haven’t decided, or won’t implement Medicaid expansion, as last week’s Supreme Court ruling now allows.
Bear in mind, this is a fluid situation -- so your governor’s seemingly authoritative proclamation that he or she won’t participate and can’t wait until we have a new president next year to repeal Obamacare is always subject to change.
But for the time being, it looks like 10 states won’t be participating, 16 states will be implementing Medicaid expansion, and another 24 either won’t comment or haven’t decided.
In light of this, the Congressional Budget Office is reassessing its original estimate of Medicaid expansion’s overall impact, according to the Washington Post. The CBO had initially estimated roughly 15 million additional Americans would be covered through the Medicaid portion of the ACA. But if states such as Florida and Louisiana, with their outspoken anti-ACA governors, stick to their guns, that 15 million figure will certainly shrink -- and most of those left off the rolls will probably remain uninsured.