The Patients First Act is now Georgia law. It allows Gov. Brian Kemp’s office to request a Medicaid waiver from the federal government. Both proponents and opponents of the move are making it clear a waiver isn’t the same as full Medicaid expansion, which is what then-President Obama envisioned for states when crafting the Affordable Care Act. Democrats say a waiver doesn’t go far enough while some conservatives say even a partial expansion is too costly.