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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.

The Supreme Court decision protects the law, but some people remain very motivated to take down the ACA -- among other things.

The reaction of anti-ACA advocates to Thursday's ruling in favor of the Affordable Care Act has been outraged, and sometimes risible (here's someone who suggests that Obama threatened Supreme Court Chief Justice John Roberts' children to change his vote).

But after the outrage over Thursday's decision dies down, more serious opponents of the law -- ranging from politicians like Rep. Paul Ryan to the Chamber of Commerce, which has spent $27 million on anti-ACA ads) -- will keep working on its overturn.

Right now the hope is that Mitt Romney will be elected, and that he'll keep his promise to repeal the ACA. But win or lose, ACA opponents will stay hard at work.

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