So far, a handful of Republican governors have announced via various media outlets their intention not to have their states participate in the Medicaid expansion program that is part of the Patient Protection and Affordable Care Act.
I tried to find out if any of these governors actually contacted the federal Department of Health and Human Services to officially opt out of the Medicaid program, but received no responses. It ends up that PPACA doesn't have a statutory deadline related to the Medicaid expansion so no official word is necessary.
That didn't stop Gov. Rick Perry (R-TX) from dashing off a letter on Monday to HHS Secretary Kathleen Sebelius explaining that he stands "proudly with the growing chorus of governors who reject the PPACA power grab….Neither a state exchange nor the expansion of Medicaid under the Orwellian named PPACA would result in better patient protection or in more affordable care."
He asked the secretary to let President Obama know that "I oppose both the expansion of Medicaid….and the creation of a so called state insurance exchange because both represent brazen intrusions into the sovereignty of our state." As he notes as the end of the letter, expanding Medicaid "would threaten even Texas with financial ruin."