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WASHINGTON -- Governors across the political spectrum are hitting a roadblock in their bids to expand Medicaid with federal funds: Republican legislators who adamantly oppose "Obamacare."
While some of these governors themselves have criticized the president's health care law in general, they've come to see one component - Medicaid expansion - as too generous to reject. But they're battling conservative lawmakers who say it's better to turn down billions of federal dollars than to expand Medicaid under the 2010 law.
Partisan politics have driven states' Medicaid decisions ever since the Supreme Court ruled in 2012 that expansion was optional, not mandatory, under the new law. Within months, every Democratic governor agreed to expand Medicaid (although Republican legislatures blocked a few of those efforts).
Only nine states with Republican governors accepted the offer.
Medicaid, the health insurance program for low-income and disabled people, covers about 65 million Americans, more than one in five. The federal government will pay the full expansion cost for the first three years, and gradually reduce the subsidy to 90 percent. That's more than the traditional Medicaid federal match to states.
The law expanded Medicaid eligibility to adults with annual incomes up to 138 percent of the federal poverty level. That will qualify an individual making less than $16,105, and a family of four earning less than $32,913.
So far, 27 states have agreed to expand Medicaid. But several more, including some with Republican governors, now want in. These governors note that their residents pay the federal taxes that fund expansions, so declining to participate amounts to subsidizing other states without receiving benefits.
Several Republican governors and one independent are meeting Republican legislative resistance to their expansion proposals. Some have tried to woo conservatives by adding "free enterprise" provisions, which require federal approval.
Perhaps the most aggressive GOP governor is Bill Haslam of Tennessee, who won re-election in November. Meeting with newspapers and others, Haslam now says Medicaid expansion is "morally and fiscally the right thing to do."
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Republican lawmakers block bids to expand Medicaid
The 2016 Republican presidential field could be bigger than any in recent memory thanks to a growing second tier of potential contenders.
While several prominent politicians already have insinuated themselves into the mix, from Ted Cruz to Rand Paul to Chris Christie to Jeb Bush, a number of under-the-radar names are now flirting with a 2016 candidacy.
They may be the long shots, but could shake things up -- by playing the spoiler in key primaries, positioning themselves as a potential running mate for the eventual nominee or even becoming a dark horse competitor in the final stage.
"It is definitely a new phenomenon," Ronald Reagan biographer Craig Shirley said of the increasingly crowded fields. (The 2008 and 2012 GOP contests were a political demolition derby.) "I don't think this has anything to do with the growth of the United States, you just have more people who are convinced they are qualified to run for president."
Some potential candidates are hardly new to the game, including Rick Santorum and others.
Longtime Republican pollster Glen Bolger said the lure is especially strong for pols who have inhabited that spotlight. "They figure, Barack Obama can come out of nowhere," he said, referring to the president's leap from one-term senator to president. "They think, 'I can be different, I can break the mold and get the nomination'."
He added: "[But] it's like catching lightning in a bottle. I won't say it can't be done, but that's what a lot of these candidates are relying on."
George Pataki, the three-term former New York governor, has said he's weighing a 2016 run, and he seems to be taking the idea seriously. He launched a super PAC called Americans for Real Change, which produced an ad this fall timed with appearances in New Hampshire. His message: fiscal responsibility, with a populist twist.
"Big government benefits the rich and powerful. They can afford to play the game -- you can't," he says in his televised ad. "It's time for a new America, with much smaller federal government. Washington can't run the economy, and shouldn't try to run our lives."
Asked about a possible bid, Pataki told Fox Business Network in November: "I'm thinking about it."
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2016 DARK HORSES? GOP candidates weigh spicing up presidential race
The 2016 Republican presidential field could be bigger than any in recent memory thanks to a growing second tier of potential contenders.
While several prominent politicians already have insinuated themselves into the mix, from Ted Cruz to Rand Paul to Chris Christie to Jeb Bush, a number of under-the-radar names are now flirting with a 2016 candidacy.
They may be the long shots, but could shake things up -- by playing the spoiler in key primaries, positioning themselves as a potential running mate for the eventual nominee or even becoming a dark horse competitor in the final stage.
"It is definitely a new phenomenon," Ronald Reagan biographer Craig Shirley said of the increasingly crowded fields. (The 2008 and 2012 GOP contests were a political demolition derby.) "I don't think this has anything to do with the growth of the United States, you just have more people who are convinced they are qualified to run for president."
Some potential candidates are hardly new to the game, including Rick Santorum and others.
Longtime Republican pollster Glen Bolger said the lure is especially strong for pols who have inhabited that spotlight. "They figure, Barack Obama can come out of nowhere," he said, referring to the president's leap from one-term senator to president. "They think, 'I can be different, I can break the mold and get the nomination'."
He added: "[But] it's like catching lightning in a bottle. I won't say it can't be done, but that's what a lot of these candidates are relying on."
George Pataki, the three-term former New York governor, has said he's weighing a 2016 run, and he seems to be taking the idea seriously. He launched a super PAC called Americans for Real Change, which produced an ad this fall timed with appearances in New Hampshire. His message: fiscal responsibility, with a populist twist.
"Big government benefits the rich and powerful. They can afford to play the game -- you can't," he says in his televised ad. "It's time for a new America, with much smaller federal government. Washington can't run the economy, and shouldn't try to run our lives."
Asked about a possible bid, Pataki told Fox Business Network in November: "I'm thinking about it."
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Long-shot GOP candidates weigh spicing up 2016 race
The End of the Republican Party
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By: James Wright Foley
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The End of the Republican Party - Video