A judge has ruled that the federal Affordable Care Act does not shield the state from key parts of a lawsuit alleging that Florida’s Medicaid program has provided inadequate care to children.

The yearslong lawsuit, which has been led by the Florida Pediatric Society, contends that many physicians will not treat children in the Medicaid program because the state’s payment rates are too low. But the state argued that most of those issues are moot because the Affordable Care Act in 2013 and 2014 boosts pay for primary-care physicians who treat Medicaid patients.

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