Clash over Medicaid opt-in

The Fiscal Times:  GOP Govs Fight With Hospitals Over Medicaid Opt-In
The three governors, whose states have among the highest uninsured populations and some of the most limited Medicaid programs in the country, say their states can't afford Medicaid expansion and don't want the federal government interfering with their programs. Texas, for example, spent over $27 billion in 2010 on Medicaid - fully seven percent of the all U.S. Medicaid spending.  Florida spent over $17.3 billion, and Louisiana spent $7 billion. But hospitals in those states say they stand to lose money, and are urging their state leaders to reconsider (Ehley, 8/20).