As part of his budget proposal Governor John Kasich (R) will support taking advantage of the Affordable Care Act to expand Medicaid in Ohio. This move comes as a bit of a surprise given that Kasich as been one of the biggest opponents of Obamacare, but in the end Kasich decided the expansion was too good a deal for the state to pass up.
The move should help roughly half a million low income people in the state gain coverage through the program with the federal government covering most of the cost.
Since the Supreme Court made Medicaid expansion optional it has created a real divide among Republican governors. Many, like Texas Gov. Rick Perry, have rejected the Medicaid expansion in an effort to continue opposing Obamacare and hopefully cripple the new law. A handful of Republicans governors though believe that as long as it is the law of the land not accepting the money would be detrimental to their states.
Kasich is now the fifth Republican governor to publicly support Medicaid expansion. On the other hand, ten Republican governor have come out against the expansion and several more are likely to follow suit.
It appears that when the Medicaid expansion is set to take place in 2014 roughly a third of the country will at least initially not take part. As a result. the ACA will cover millions fewer than it was intended to.