One of those centrists, Sen. Joe Manchin III (D-W.Va.), has condemned the idea of creating a federal program that would act like Medicaid to fill the coverage gap. Manchin says it would be unfair to states such as his, which have expanded Medicaid and, as the ACA requires, are footing 10 percent of the cost. Manchin does not yet have a position on the House’s ACA marketplace approach, his office said.

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The uninsured are eager for Congress to fill a coverage gap — even for a few years – The Washington Post