Despite the Supreme Court ruling that the Affordable Care Act is constitutional, Republican governors are considering refusing billions in Medicaid funds which promise to insure millions of lower-income Americans without health care. The Court found that while the Medicaid provision is constitutional, the federal government cannot take away federal funds from states that refuse to open the program to more residents.
A ThinkProgress survey reveals that ten GOP governors have said definitively that they will not accept the funds, while 19 are still considering other options. Sixteen states, all with Democratic governors, have committed to expanding their programs:
Starting in 2014, the Affordable Care Act expands Medicaid, the massively popular program which makes health insurance available for lower-income Americans. For the first three years, the federal government covers 100 percent of the expansion costs. After five years, the federal government finances 90 percent of the expanded population.
Not a single Republican governor has pledged to accept the new Medicaid funds and three Democrats are also considering turning down the money. In total, these states would give up $291.4 billion in federal funds and leave 10,297,221 Americans uninsured.