Alabama is one of them.Gov. Robert Bentley has said for nearly two years that Alabama must work to serve its existing Medicaid patients better before it can even consider opening the program to an estimated 250,000 new people.Hoffman with Engage Alabama says expanding the program that already serves over a million people isn just about serving those without insurance. He says it could help support healthcare systems and people who already have private insurance.”Without Medicaid expansion, a lot of rural hospitals could collapse, they could go under.

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