Kalu James moved to Austin, Texas, eight years ago, but bought health insurance for the first time this year. Twenty percent of the city's musicians live below the federal poverty line. Veronica Zaragovia/KUT hide caption

toggle caption Veronica Zaragovia/KUT

Gov. Jerry Brown signed California's Medicaid expansion bill into law in June 2013. Since then, the number of people enrolled in Medi-Cal, the state's version of Medicaid, has surged. Rich Pedroncelli/AP hide caption

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Jane Garcia, CEO of La Clinica de la Raza, which serves 25,000 patients in Contra Costa County, Calif., addresses supporters of expanding health care for undocumented adults. Farida Jhabvala Romero/KQED hide caption

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Marilyn Kruse couldn't get health insurance through her job as a substitute teacher in Jefferson County, Colo. Now she buys insurance through the state's health exchange. John Daley/Colorado Public Radio hide caption

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A Medicaid office employee works on reports at Montefiore Medical Center in New York in late 2014. New York expanded Medicaid eligibility under the Affordable Care Act and enrollment surged. Julie Jacobson/AP hide caption

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Outreach coordinator Sonny Weahkee (left) talks with a restaurant customer about health insurance for Native Americans in Shiprock, N.M., in early August. Heidi de Marco/Kaiser Health News hide caption

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Brenda Hummel and her 7-year-old daughter Andrea in their home near Des Moines, Iowa. Andrea was born with severe epilepsy and gets her health care through Medicaid. Clay Masters/Iowa Public Radio hide caption

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One of the first signs drivers see on the way into Unionville, Mo. is this billboard advertising cardiology at Putnam County Memorial Hospital. Offering specialty services, like cardiology and psychiatry turned the hospital around, community leaders say. Bram Sable-Smith/KBIA/Side Effects Public Media hide caption

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While governor of Texas, Rick Perry refused to accept federal funds to expand Medicaid. Rick Wilking/Reuters/Landov hide caption

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Alaskans attend a rally in Anchorage for Medicaid expansion. Jonathan Casurella/Alaska Public Media hide caption

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Florida Gov. Rick Scott speaks Wednesday with reporters in Washington, D.C., after a meeting with Sylvia Burwell, head of the Department of Health and Human Services. Alex Wong/Getty Images hide caption

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St. Agnes Hospital in Baltimore is one of the 131 hospitals run by Ascension Health. It's a not-for-profit, Catholic health care system that treats many low-income patients. St. Agnes Hospital hide caption

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Florida state Senate president Andy Gardiner, R-Orlando, was applauded by his fellow senators Tuesday, after expressing his disappointment with the Florida House for ending its session three days early, instead of working through the budget clash. Steve Cannon/AP hide caption

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