Stories about the Republican governors’ struggle with accepting the Medicaid expansion often say, as an Associated Press story did this week, that under the Affordable Care Act, “Washington pays the full cost of the expansion for the first three years, gradually phasing down to 90 percent.” This is true, but there is a little more to it, and in political terms that little is large.
To expand the explanation somewhat, from Jan. 1, 2014, to Dec. 31, 2016, the feds will pay the participating states 100 percent of their Medicaid costs. The scale-down begins in 2017 and reaches 90 percent in 2020.
What results from this is somewhat akin to Einstein’s Theory of Relativity. To some GOP governors who have been vocally opposed to Obamacare, the train they’re on appears to be moving slowly enough to get through one more qualifying, one more election, maybe even having their portrait hung in the capitol before they’re compelled to concede.