The Congressional Budget Office (CBO) dramatically reduced state Medicaid spending forecasts due to the Affordable Care Act, the New York Times reported. According to the CBO, states will spend about $46 billion more over the next decade on Medicaid due to the ACA, about one-third less than the prior forecast of $70 billion. Although the CBO did not give an exact reason for the reduction, it expects the action will provide more leverage among those who want the 24 states still undecided on expanding Medicaid coverage to do so. The CBO did not revise estimates on additional federal spending on Medicaid, which pays for the vast majority of the expansion. Article