Republican state leaders say they’d rather forfeit federal money than dip into state coffers to expand Medicaid under the Affordable Care Act. more

Americans will decide the fate of the American Dream this November, said Massachusetts Governor Deval Patrick in a speech to a progressive legal society in Washington, D.C. Thursday. more

State revenues are ticking up, but health care spending will drive increasing discrepancies between revenues and expenses over the short- and long-term, the Government Accountability Office predicts. more

On a national political scale, severability — the question of whether the health law can stand if the so-called “individual mandate” falls — is the weightier of the two issues the court will hear today. But for states, the health law’s required expansion of Medicaid to some 16 million more people is by far the top issue. more