I am not sure I agree with your post. I could be VERY wrong and will be the first to admit that my knowledge is limited but I do not think the "book" is customized. Maybe your state has produced one or supplemental information but the "book" is available online at Medicare.gov and therefore, the same for all states.
Secondly, I do not think
Medicare is a part of the PPACA.
Medicaid is definitely a part of "ObamaCare".
As I said, I could be wrong, but just wanted to express a different opinion.
I respect your opinion and hope my disagreement is not offensive.
Maybe someone will come along with another opinion.
No matter what, Mz Migraine, I still hold you in highest regards.