Governors could offer better-quality health coverage to low-income people if states are given the administrative flexibility to manage their Medicaid populations, writes House Energy and Commerce Committee Chairman Fred Upton, R-Mich. He writes that the federal government will have to rely solely on the more expensive federally subsidized health exchanges to provide coverage if states decline to expand Medicaid. The Affordable Care Act is seriously flawed because it will cost taxpayers more than advertised and make health care coverage less affordable, but it's unlikely to be repealed in the coming two years, Upton writes.

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