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Obama's Medicaid expansion: How many states are likely to rebel?

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The breakdown here is generally along red state/blue state lines, as determined by which party holds the governor’s office. Texas and Florida both said “no,” for instance. (Yes, President Obama won Florida, but the GOP’s Rick Scott is governor.) Maryland, Illinois, and California are “yeses.”

But “no” states insist that their hesitance has as much to do with economics as with the relative unpopularity of Obamacare among their voters. While current law calls for Washington to pay for the expansion, Congress is under tremendous pressure to cut federal spending, and it’s not implausible that this subsidy might end up a target.

“States feel a lot of anxiety about making a decision to expand a program, and then having the federal government change the rules and shift more cost onto the states,” said Diana Rowland, a health policy analyst for the Kaiser Family Foundation, during a recent forum on Medicaid expansion hosted by the Alliance for Health Reform.

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