Giving Compass' Take:

· As federal funding becomes more limited, Governing Magazine explains how states are using different methods to fund their Medicaid expansions.

· How are states cutting Medicaid costs? What are some different approaches states are using to cover their portion of the bill? Are work requirements or premiums for Medicaid unconstitutional?

· Read more about troubles in funding healthcare


In his last few months in office, Maine Gov. Paul LePage is taking his yearslong battle against Medicaid expansion -- a central provision of President Obama's signature health care law -- to the state Supreme Court.

LePage refuses to grant lawmakers' and voters' wishes to make 70,000 more people (adults with incomes at or below 138 percent of the federal poverty level) eligible for Medicaid, the nation's government-run health insurance program. After he vetoed five expansion bills in five years, Medicaid advocates took the issue to voters, who sided with their state legislators.

Still, LePage resists.

The reason, he says, is money. The federal government will eventually pay only 90 percent of the costs of expanding Medicaid. The rest of the tab is on the state, and LePage says he "would go to jail before I put the state in red ink."

Read the full article about funding Medicaid expansions by Mattie Quinn at Governing Magazine.