Right now 15 states, all Republican controlled, are saying they will not participate in the Medicaid expansion. Medicaid in Indiana is useless as it is now. A family of four can not make more than $350 a month and cannot have more than $1,000 in the bank, so it's pretty much just for children to meet the bare minimum requirements to receive federal funding. When I was in the hospital a few years back for four days the bill came to $30,000, so sure, a family of four with a $1,000 in the bank and making $350 a month should be just fine covering that. By keeping Medicaid irrelevant, due to unrealistic requirements, we've really just hurt providers and they end up moving to the bordering states--to places like Cincinnati, Dayton, Chicago, and even Louisville because Kentucky has a more generous Medicaid program, and all the little towns in between. This is the way conservatives work, they only see the costs and never the benefit to these types of programs.
Check out this nugget from yesterday.
Texas ranks worst in the nation in health care services and delivery, according to an annual scorecard issued by the federal Agency for Health Care Research and Quality.
In nine out of 12 categories, Texas rated weak or very weak. The only area where Texas earned the above average ranking of "strong" was in maternal and child health care measures. Out of a possible 100 points, Texas earned 31.61, while Minnesota, the highest ranking state, scored 67.31.
...and one reason why...
The Texas Medicaid law for the disabled and poor offers one of the most limited health care programs in the nation, and more than 25 percent of Texans do not have health insurance of any kind, which is the highest uninsured rate in the nation.
The poor state of the Texas health care system has particular relevance as state lawmakers begin to consider how to respond now that President Barack Obama's federal health care overhaul has been upheld by the U.S. Supreme Court.
http://www.nydailynews.com/life-styl...#ixzz1zykOBS4Y Good thing we made sure all those illegal immigrants won't be covered or be able to buy coverage in any exchange created by Obamacare. We saved a boatload there. 
I should point out that the ACA originally compelled states to extend Medicaid to people making 130% of the poverty level with the same matching funds they get now. If your state does not do this, and if they don't it won't be Obama's fault, persons making less than that amount and not qualifying for Medicaid will not be getting any help. The aid for low-income persons to help purchase insurance is for those making between 130-400% of the poverty level.