Paid for how? The expansion of people not on medicaid to be paying in was supposed to be how expanding medicaid could be achieved.

The Feds pay ~$150 billion a year and the states pay ~$20 billion a year for that Medicaid expansion. Those are increases on top of previous spending.

How are we paying for that? Debt.

On top of that, the ACA provides $100 billion a year to subsidize the healthcare markets.