Erica Carter of Sioux City, Iowa, says she enjoys her job as a finance manager for the Omaha Nation public school district in Nebraska, working to find grants and opportunities for low-income students. But when she learned her pay was too high for her to remain in an Iowa Medicaid program, Carter had to choose — leave the job or give up her benefits.

Natalie Krebs/Iowa Public Radio

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Natalie Krebs/Iowa Public Radio