Expanding Medicaid is the most likely of any Affordable Care Act provision to lower out-of-pocket health care spending, according to a study by the Robert Wood Johnson Foundation. The expansion would apply uniformly in each state that accepts it, unlike other ACA provisions that are subject to state variations and will unevenly affect spending, the study found. "States with a larger share of low-income residents currently facing high medical spending burden levels may benefit most," lead researcher Kyle Caswell said.

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