The outcome of the November Presidential election also decided the fate of the Affordable Care Act (ACA). Ron Pollack, Executive Director, Families USA says: “The election has settled key issues about the directions our nation’s healthcare will take: It means Obamacare will be implemented, the Medicaid safety net will be strengthened, and Medicare’s guaranteed benefits will not be undermined. As a result, people across America will gain peace of mind knowing that high-quality, affordable healthcare will be there for themselves and their loved ones,”(Healthcare Finance News). This means that implementation will go forward.

This is good news for all Americans, but especially for those who are presently uninsured. But how will this work?  The ACA has two main pillars, each of which will be decided on a state-by-state basis:

1) Create a health insurance exchange

2) Expand Medicaid

Each state will have the option of setting up their own health insurance exchange (state-run), allowing the federal government to set up and operate an exchange on behalf of the state (federally-run), or create a state-federal partnership where both entities

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