States' Implementation of the Patient Protection and Affordable Care Act

What actions states are taking to implement the Medicaid expansion? Specifically, the report addresses the following questions: (1) What are the states' responsibilities for implementing the Medicaid expansion? (2) What actions have selected states taken to prepare for the Medicaid expansion, and what challenges have they encountered?, and (3) What are states' views on the fiscal implications of the Medicaid expansion on state budget planning?