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megyn: and the high court did not side with the administration on that exactly, tom. explain. >> right. so here's the deal. in the affordable care act congress gave a bunch of money to the states, but with serious strings and said if you don't do what we want in expanding medicaid and follow all of our eligibility rules not only will we not give you this money, but we'll take all of your money away under medicaid which would be just devastating for the states. and the states said, look, this is ridiculous. this isn't a real offer. this is the federal government trying to make us do something as sovereigns. and the supreme court agreed with that and said, yes, congress can condition this money, the new medicaid money, on certain sets of rules. but you can't threaten them with all, losing all of their medicaid funding or all of their federal funding. so that's important for medicaid. i don't think it effects the implementation of the affordable care act because no state was going to turn this down anyway, taking away all of the medicaid funding. but remember, congress puts strings on things all the time.

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