* Nonprofit hospitals in some U.S. states could see fiscal
benefit if legislatures expand Medicaid under Patient Protection
and Affordable Care Act

* Nonprofit hospitals in all U.S. states will have to
contend with additional stresses in coming years whether or not
states decide to expand Medicaid

* Says also expect U.S. nonprofit hospital margins to be
pressured when shift to value-based/risk-based contracts
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BRIEF-Fitch says Medicaid expansion may benefit some U.S. non-profit hospitals