 states can save taxpayers 609 billion have you heard that michigan s share of federal dollars for medicaid expansion will go to another state if we reject it not true there was a provision tucked into a supreme court decision last summer that prevents congress from coercing states into expanding their medicaid programs by threatening to withhold federal dollars for their existing medicaid programs how would this impact the federal budget if states banded together and rejected the expansion of medicaid read more  onlinewsjcom article sb10001424127887323982704578453250970028838 