Legislatures in pivotal swing states like Ohio and Pennsylvania are dusting off their gavels from summer recess and diving back into the high-stakes Medicaid debate over whether to extend health coverage to hundreds of thousands of low-income Americans. Others are looking at ballot measures to spur action because lawmakers won’t convene again until next year.
There’s nothing to keep states from joining the program later, but those that delay will miss out on some of the federal cash. Washington is picking up the full tab for expansion through 2016 and then gradually phasing back to paying 90 percent.