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Medicaid expansion: Official tally

In a blog on February 14, I predicted that a 2-to-1 plurality of 34 state governors would ultimately recommend the Medicaid Expansion and provided a current tally of their recommendations. Of course, the difficulty inherent in that number is that 30 governors are Republicans and initially, Republicans came out united in their opposition to the Medicaid Expansion, led by six Governors in the very conservative South--Rick Perry (Texas), Bobby Jindal (Louisiana), Phil Bryant (Mississippi), Robert Bentley (Alabama), Nathan Deal (Georgia), and Nikki Haley (South Carolina). These six southern Republican governors opposed to the Medicaid expansion were joined by Oklahoma's Mary Fallin, Idaho's Butch Otter, Iowa's Terry Branstad, Maine's Paul LePage, and South Dakota's Dennis Daugaard within a matter of months -11 GOP governors standing united in recommending against the expansion. 

On the other side of the aisle, 13 Democratic governors announced their support of the Medicaid Expansion: Jerry Brown (California), Colorado's John Hickenlooper (Colorado), Dan Malloy (Connecticut), Jack Markell (Delaware), Neil Abercrombie (Hawaii), Pat Quinn (Illinois), Martin O'Malley (Maryland), Deval Patrick (Massachusetts), Mark Dayton (Minnesota), Jay Nixon (Missouri), Steve Bullock (Montana), Peter Shumlin (Vermont), and Jay Inslee (Washington).

Then, the party lines started to break down. Since this initial 11-13 split along party lines, there has been a lot of consideration and debate on both sides, leading to some surprising decisions: 

StateGovernor (Party)Position
NevadaBrian Sandoval (R)For
New MexicoSusana Martinez (R)For
North DakotaJack Dalrymple (R)For
ArizonaJan Brewer (R)For
OhioJohn Kasich (R)For
MichiganRick Snyder (R)For
PennsylvaniaTom Corbett (R)Against
FloridaRick Scott (R)For
New HampshireMaggie Hassan (D)For
NebraskaDave Heineman (R)Against
IndianaMike Pence (R)Against
WisconsinScott Walker (R)Against
North CarolinaPat McCrory (R)Against
VirginiaBob McDonnell (R)Against

As shown above, six more Republican governors joined the opponents of Medicaid expansion, while seven Republicans (plus one more Democrat) joined the governors who support the Expansion.  This puts the tally at 21 for Expansion and 17 against, so for now, my prediction of 34 governors in favor is shot. The breakdown by party of those who have taken a position so far is is as follows:

Favor ExpansionAgainst Expansion
7 Republicans17 Republicans
14 Democrats0 Democrats
  
21 governors17 governors

Of the 12 remaining undecided governors, six are Republican, five Democratic, and one is independent: 

State Undecided RepublicansUndecided Democrats
AlaskaSean Parnell 
Arkansas Mike Beebe
KansasSam Brownback 
Kentucky Steve Beshear
New JerseyChris Christie 
New York Andrew Cuomo
Oregon John Kitzhaber
Rhode IslandLincoln Chafee (I)
TennesseeBill Haslam 
UtahGary Herbert 
W. Virginia Earl Ray Tomblin
WyomingMatt Mead 

I continue to believe that all of the remaining undecided Democratic governors, as well as Chaffee, the independent, will support the Medicaid Expansion. And, I also believe that most of the undecided Republicans will go along with it as well. There's also a distinct possibility that state legislators will take matters into their own hands and act against a governor's recommendation. That is definitely a possibility in Iowa, for example, where opposition to Governor Branstead's recommendation to forego the Expansion is quite strong. Let's see what happens this week.

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