More than two dozen states have yet to expand their Medicaid programs as part of their Affordable Care Act, citing the cost involved. But a new report says they will have to pony up anyway. The report by the Kaiser Commission on Medicaid and the Uninsured concluded that nationwide Medicaid enrollment will rise an average of 9 percent next year. However, even in holdout states, enrollment is projected to rise by as much as 5 percent. The report said outreach campaigns meant to heighten awareness about the ACA means many people eligible for Medicaid under the pre-ACA guidelines but not enrolled will take the plunge. Article