Republican and Democratic governors in several states that have refused to expand their Medicaid programs are now seeking to do so, but will need approval from Republican-dominated legislatures. Even if they are not moved by humanitarian concerns to improve health care for their poorest citizens, recalcitrant legislators should at least see the folly of rejecting extremely generous matching funds. The federal government will pay 100 percent of the cost for newly eligible enrollees in 2016 and 95 percent in 2017, phasing down to 90 percent in 2020 and subsequent years.
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