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As speculation continues regarding the future of the Patient Protection and Affordable Care Act (PPACA), state Medicaid directors are continuing with their planning process, says Stan Dorn, a senior fellow at the Urban Institute in Washington, DC. "There is always a lot of posturing. After Medicare Part D passed, there was posturing," says Mr. Dorn. "But it's much harder to repeal a law than to create a law. I think it is realistic to assume it is going to go forward."

What is most likely outcome for Medicaid expansion and health reform?