Depending on who you talk to, opinions on the Medicaid expansion mandated by the Omnibus Budget Reconciliation Act of 1989 (OBRA-89) range from "a great piece of child legislation" to "one of the states' better kept secrets."

The law, which went into effect April 1, extends Medicaid coverage to all pregnant women and children up to age 6 years with household incomes up to 133 percent of the federal poverty level.

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