Leaders in other States See the Need to Expand


“The Healthy Iowa Plan is a modern health plan that will pay providers to care for their whole population and based on the quality of care they deliver, while rewarding positive health outcomes,” said Governor Branstad. “Under our Healthy Iowa Plan, more Iowans will be served by the private insurance market, with access to affordable plans available through health benefits exchanges.” "This is a modernization of Medicaid and will serve both patients and taxpayers at a superior level," said Tim Albrecht, a spokesman for Governor Branstad.


"I think it's good for our people because it's helping folks that don't have insurance now that are working their tails off. They're not sitting on a couch somewhere asking for something. Arkansas came up with its own plan to expand Medicaid using the private insurance market, and Secretary Sebelius and her team worked to ensure that we had the flexibility to make that plan a reality,” Gov. Mike Beebe said. 


“It also puts Michigan rather than Washington in the driver's seat in terms of implementation, which allows us to better address Michigan's specific needs," said Gov. Rick Snyder.  “A healthier Michigan is an important part of our state’s continued comeback,” Snyder said. “And this innovative approach will make our recovering economy stronger, too, saving money for taxpayers and job providers.”


"The Healthy Indiana Plan is a Hoosier innovation with a track record of bipartisan support and positive results," said Governor Mike Pence. "I am confident that Secretary Sebelius will recognize the value of the Healthy Indiana Plan’s consumer-driven model as we continue our discussion on the future of this successful program."


“Tennessee is proposing a benefit design that would apply cost sharing requirements at the maximum level permitted by CMS and we hope to continue discussions regarding any flexibility CMS has to address our concerns,” Governor Bill Haslam wrote.


"My Healthy Pennsylvania plan provides a state-based solution to ensure increased access to health care for all Pennsylvanians in a fiscally sustainable manner," said Pennsylvania Governor Tom Corbett.


Governor John Kasich writes that expanding Medicaid “not only helps improve the health of vulnerable Ohioans…but it also helps prevent increases to health care premiums and potentially devastating impacts to local hospitals. Additionally, it avoids leaving Ohioans’ federal tax dollars on the table and keeps the federal government from simply giving them away to other states.”


"Though I have never liked the Affordable Care Act because of the individual mandate it places on citizens, the increased burden on businesses and concerns about access to health care, the law has been upheld by the Supreme Court," said Governor Sandoval.


“From Gov. Brewer’s perspective, the Medicaid expansion could represent a wealth shift from states that chose not to expand to those that choose to,” Spokesman Matt Benson said. “She looked around at how Arizona would compete regionally, let alone nationally, if we didn’t go forward and ensure that Arizona tax dollars stay in Arizona.”

New Mexico

“However, we also have an obligation to ensure our state’s financial security. In deciding to expand Medicaid, I weighed every possible outcome and impact. Ultimately, this decision comes down to what is best for New Mexicans,” said Governor Susana Martinez.

North Dakota

“There really is no good reason to stand in the way of 20,000 North Dakotans having the opportunity to get health insurance coverage at no cost to them. I think that really is the overriding consideration,” Governor Jack Dalrymple said. 


Governor Matt Mead said, "We may not like it and in fact we don't. But we also recognize that as we do this we have uncompensated care for hospitals of about 200 million dollars a year. That the federal money that we are rejecting now is going to California or Colorado or some other state and so let’s make a pitch and let's see if HHS or CMS accept it or not."