In agreeing to expand Medicaid, the Florida governor got a concession from the Obama administration: He can complete the current effort to privatize Medicaid. From the Tampa Bay Times:
His [Scott's] endorsement of the expansion came hours after the federal government agreed to grant Florida a conditional waiver to privatize Medicaid statewide for the state’s more than 3 million current recipients, more than half of which are children or people under age 21.
That was courtesy of Robert Laszewski, who adds that:
Scott has now proved an important point.
The Obama administration will deal.
See this NCPA report and this James Madison Institute report by Michael Bond who co-authored a guide to reforming Medicaid, which served as the framework for Florida’s original path-breaking Medicaid reform waiver.