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State Efforts to Promote Continuity of ACA Coverage

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A new culture of health care has been ushered in by the Patient Protection and Affordable Care Act (ACA) but Americans with income fluctuations, such as those with multiple part-time jobs, may experience shifts in coverage. Those transitions would require the affected people to "churn" between Medicaid and private insurance, a process that could affect affordability and continuous access to care.

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