A showdown between bitter opponents of the Affordable Care Act and Republican Governor Asa Hutchinson has resulted in the state preserving its expansion of Medicaid, AJMC's Mary Caffrey reports. As a result, Medicaid will continue for 267,000 residents who earn up to 138 percent of the federal poverty level. The expansion includes a waiver from the Centers for Medicaid and Medicare Services with provisions to require "more personal responsibility."