Kansas Republicans have stood fervently in opposition to ACA and Medicaid Expansion. In a floor speech during the tax debate, Mary Pilcher-Cook (R-Johnson County) referred to Medicaid expansion as "evil," and during a conference committee handed out leaflets noting the "evils of Obamacare" as a reason to look at charging insurance providers a fee in the state of Kansas.

In last spring’s Republican primary, U.S. Senate candidate Thom Tillis ran an ad touting his fight against an expanded Medicaid program. “Thom Tillis has a proven record fighting against Obamacare,” the narrator said. “Tillis stopped Obama’s Medicaid expansion cold. It’s not happening in North Carolina, and it’s because of Thom Tillis.”

States that refuse to accept Obamacare's Medicaid expansion aren't just leaving behind poor residents, they're also hurting hospitals' bottom lines.

Because the Affordable Care Act cut the number of people with no health insurance this year, hospitals across the country will see $5.7 billion less in unpaid bills, according to a report issued by the Department of Health and Human Services Wednesday.

Republican lawmakers in Florida and Texas snubbed the Affordable Care Act's Medicaid expansion for adults, but their states did broaden the program this year — for school-age children.