The GAO was asked by Congress to conduct a study on state actions to expand Medicaid under the ACA, and the report was recently released. GAO examined questions pertaining to state responsibilities for implementing the Medicaid expansion, the actions undertaken by the states, as well as state views on the fiscal implications of expanding. The 42 page report, will take time to fully digest and interpret for our Wisconsin situation, however, here are some of the major initial findings to note: