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Health Care has always been one of the most grossly overlooked sector in the US. Millions of Americans who fall under the poverty line are denied basic medical treatment as they are not able to pay for them and neither can afford to purchase costly health insurance schemes. Although there is considerable advancement as compared to previous decade with the introduction of new schemes and huge private investment but still lack of a central regulatory authority to exercise control, obtaining timely payments and subsidies still alludes a huge mass of the general population. The Affordable Care Act was introduced in 2013 and mandated that every state increase their limit of Medicaid. According to a study published by the “Kaiser Family Foundation” by 2015 total 28 states and the Columbian district had signed up for it. However considering the fact that not all states have their own insurance exchange and some provide subsidies to encourage its residents to purchase private insurance coverage, the Supreme Court ruled out the compulsory inclusion of the states under the act and provided every state the flexibility to choose to expand their insurance schemes at their own pace. Following the order from Supreme Court as many as 17 states opted out and 5 states were considering their options by the end of 2015.