An expansion of Medicaid is supposed to cover more of the working poor. But Republican-led states have been opting out and outlying areas in states like Tennessee may be the hardest hit.
One of the Affordable Care Act's fiercest critics, Florida's Republican Governor Rick Scott has reversed courses and is dropping his opposition to expanding Medicaid.
Alabama joins a slew of lawmakers who are ambivalent about taking funds from the Fed to cover the millions more people who will become eligible for Medicaid under Obamacare.
A report from the Congressional Budget office says President Obama's health care law could save the federal government $84 billion over the next decade. That savings is mostly because of the Supreme Court ruling last month, and a part of the law it ruled out.