republicans refusing to expand medicare are thinking about the long haul, what would happen in 3 years? take the time to read the whole bill and quit quoting what your told to. the state has to pick up 100% of the cost in 3 years, can the state afford to keep up the expansion after that? no. that is why they don't want it.

Gacpl-as usual your wrong. States are only required to pay 10% of the cost after the first 3 years. The cost is less than states/taxpayers are paying for medical room visits.

I've posted accurate information.
The federal government will pay a very high share of new Medicaid costs in all states. 100% of costs are covered for the first year. 90% of the spending is done by federal government moving forward.

•Increases in state spending are small compared to increases in coverage and federal revenues, and relative to what states would have spent if reform had not been enacted.

• ObamaCare Medicaid Expansion sets the eligibility level for Medicaid at 133% FLP, although there is a special deduction to income equal to five percentage points of the poverty level raising the effective eligibility level to 138% of poverty.

• The legislation maintains existing income counting rules for the elderly and groups eligible through another program like foster care, low-income Medicare beneficiaries and Supplemental Security Income (SSI).

• The NFIB helped to change the Affordable Care Act to include a "state opt-out" for Medicaid Expansion.

• the NFIB received $50,0000 of indirect Koch money via Free Enterprise America.

• In combination with ObamaCare's other provisions, if all states participate in Medicaid expansion, it would reduce the number of uninsured by 48%, relative to the number of uninsured without the ObamaCare. States with higher uninsured rates prior to the ObamaCare would see larger increases in Medicaid and bigger reductions in the uninsured, compared to states with lower pre-ObamaCare uninsured rates.

• If all states implement the expansion, an additional 21.3 million individuals could gain Medicaid coverage by 2022, a 41% increase compared to Medicaid without the ObamaCare. With many States opting out, the number is expected to fall below 15 million.

Part II

Medicaid Expansion covers those who are most likely to use emergency services that cost hospitals tens of billions in unpaid hospital bills.

• States will spend little to nothing expanding Medicaid. For example, it would cost the State of Florida about $5 a year per person to cover all uninsured below the 138% FLP.

• Low-income families and other Americans who would be eligible for Medicaid will fall between the cracks without expansion (as they do now). ObamaCare will most likely have to insure them in the ObamaCare health exchanges. This is projected to drive up the cost of insurance for all Americans by a great deal.

•Big Business-backed groups like ALEC and the NFIB frequently suggest legislation that seeks to dismantle public programs at a state level. They tend to achieve this in Red states where they have the most pull. These states need Medicaid the most as they have the most low-income individuals falling through the cracks. They will also put a bigger burden on everyone else as it will cost more to insure their poorest on the marketplaces.

• If Medicaid Expansion is Opted-out of by too many states, it will greatly diminish the effectiveness and affordability of ObamaCare. Stop your state from Opting out of Medicaid by helping to share the ObamaCare Facts.

• The federal government will pay for most (90% - 100%) of the Medicaid expansion when it is implemented in 2014, but states would be required to pay for up to 10% percent of it by 2020.

• Some States, are saying that paying 0% - 10% of the Medicaid expansion as laid out under ObamaCare will cost them too much. While some States will pay more, the increase is very small (3% average increase in Medicaid Spending), even for the States who will pay the most. Keep in mind emergency room visits cost the State tax payer millions, while the burden of Medicaid is split between the Federal Government and the State. Therefore most State's would save money over the first 3 years of expansion at the least.

• A Harvard case study found that states who had expanded their Medicaid programs from 2000 to 2005 improved health care for the State and saved thousands of lives.

• Some States are expected to save Billions from ObamaCare's Medicaid Expansion.

Website-http://obamacarefacts.com/obamacares-medicaid-expansion.php