Republicans Block South Dakotans From Voting On Medicaid Expansion

[The Velveteen Ocelot]

6. That is not a correct statement. The federal subsidies will not end in three years.

They will be reduced slightly over time to 90%.

"Specifically, the federal government will, for the first three years (2014-2016), assume 100 percent of the costs of covering those made newly eligible by the health reform law. Federal support will then phase down slightly over the following several years (95 percent in 2017, 94 percent in 2018, and 93 percent in 2019). By 2020 and for all subsequent years, the federal government will pay 90 percent of the costs of covering these individuals."

and:

"The Congressional Budget Office (CBO) estimates that the Medicaid expansion will add very little to what states would have spent on Medicaid without health reform, while providing health coverage to 17 million more low-income adults and children. In addition, the Medicaid expansion will reduce state and local government costs for uncompensated care and other services they provide to the uninsured, which will offset at least some — and in a number of states, possibly all or more than all — of the modest increase in state Medicaid costs. Expanding Medicaid is thus a very favorable financial deal for states."

http://www.cbpp.org/cms/?fa=view&id=3801

The GOPers' opposition to Medicaid expansion in their states is strictly ideological: They don't want poor people to get help because they think poor people don't deserve help, because they're poor.