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Obama Win Boosts Health Law, But States Still Control Its Destiny
President Barack Obama’s re-election ensures the survival of his landmark health care law, but predominantly Republican state officials will get a big say in how it is carried out.
State lawmakers will control whether millions of uninsured people get coverage through Medicaid beginning in 2014, as the law envisions. They’ll also decide whether to set up online markets where individuals can shop for coverage and seek federal subsidies to lower their costs.